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VFC Manual

Guide to ContraindicationsProvider Brochure RequestWest Virginia Vaccines for Children (VFC) Manual

The Division of Immunization Services is pleased to offer you the revised electronic VFC Resource Manual. This manual provides guidance and quick access to the administrative activities required for VFC and helps providers implement immunization best practices.





Program Overview             General Activities Outline
Frequently Asked Questions 
2 Enrollment     Provider Enrollment Form       
Provider Profile Form 
Provider Address Form
VFC Storage Agreement
Inactivation Policy 
3         VFC Patient Eligibility      VFC Eligibility Criteria
Patient Eligibility Screening Record 
Federal Guidelines     Federal Requirements for the VFC Program
VFC Standards for Pediatric Immunization Practices
Immunization Schedules
Summary of Recommendations for Childhood Immunization   
Summary of Recommendations for Adult Immunization 
5 State Guidelines WV Child Care Center Guidelines
WV School Requirements
7th & 12th Grade Entry Requirements 
Pre-K Entry Requirements
WV State Code 64 CSR 95
WV School Certificates
6         VFC Forms Temperature Log        
Vaccine Borrowing Form  
       Supply Order Forms 
(Health Dept 2018)  (Private Provider)             
Vaccine Transfer Form (VTR)                
Physician Referral Form to LHD  
7 Storage & Returns                         Vaccine Storage and Handling Plan 
Vaccine Storage and Handling Chart
Safe Vaccine Storage and Handling                          
Manufacturer Quality Control Information 
Return Vaccine Form Instructions 
Return Vaccine Form 
Common Vaccine Storage Errors
Checklist for Safe Vaccine Handling and Storage                   
Do Not Unplug Sign (printable)
8   Vaccine Administration              Guide to Contraindications 
Patient Preparation
Infection Control
Vaccine Preparation
Prefilling Syringes
Administering Chart                                                
Site Maps
Administration Techniques
Comforting a Child 
More Comforting a Child
Skills Checklist
Chart / Documentation        Administration 
Vaccine Admin. Record (sample) 
Vaccine Abbreviations List
10 Vaccine Information Statements (VIS) VIS Federal Law
Current Date Listing of VIS
All VIS Are Found Here  
11     Vaccine Adverse Event Reporting System (VAERS) VAERS Reportable Events
VAERS Form Instructions
12  Reportable Diseases Reportable Listing of Diseases 
13 West Virginia Statewide Immunization Information System (WVSIIS) General Information and Technical Support
WVSIIS Screen Shot
Provider Brochure Request
14 Resources Important Contact Information
Health Department Phone Numbers 
Hurdle the Turtle Costume
2015 CPT Codes 
CDC Acronyms Listing
Thimerosal Content Table
Vaccine Components
15 Correspondence Recent Memos Will Be Here