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MnVFC Forms

On this page:
Online ordering/vaccine order forms
Patient self-screening form

Patient eligibility screening record forms
Annual report forms
Other forms

Online ordering/vaccine order forms


Patient self-screening form


Patient eligibility screening record forms


Annual report forms


Other forms:

  • VFC Vaccine Borrowing Report (PDF)
    When a provider has borrowed vaccine from one stock to administer to a child who is only eligible to receive vaccine from the other stock, this form must be completely filled out for each borrowing occurrence.

Updated Friday, April 15, 2016 at 11:23AM