VFC Program Forms and Resources

Forms/Guidance Documents

Enrollment and Recertification

• 2026 Annual Provider Review Survey Instructions
• VFC Enrollment Packet: Provider Agreement, Profile, and Storage and Handling Plan
• VFC Provider Type and Specialty Definitions
• Estimating Patient Population

Eligibility

• Patient Eligibility for Publicly Funded Vaccines

Temperature Monitoring

• Temperature Excursion Report
• Temperature Monitoring Device Guidance
• NYS VFC Fridge-Tag2L Data Logger Training Slides
• Temperature Logs:
  • Refrigerator – Fahrenheit
  • Refrigerator – Celsius
  • Freezer – Celsius
  • Freezer – Fahrenheit

Vaccine Storage and Handling

• Storage Unit Purchasing Guidance
• Vaccine Storage Unit Maintenance
• Separation of Public and Private Vaccines
• Guidance for Vaccine Transport
• Guidance for Performing a Manual Freezer Defrost

Vaccine Inventory Maintenance

• Inventory Not Deducted Cheat Sheet
• NYSIIS Returns/Wastage Training Handout
• Vaccine Borrowing Form
• Job Aids:
  • Monitoring Expiration Dates
  • Return or Discard

Vaccine Ordering

• Order Review Process
• Guidance for Prebooking Flu Vaccine in NYSIIS
• Menveo 2 Vial Special Order Request Form
• Split Packaging Guidance

Programming Policies

• Vaccine Restitution Policy
• Fraud and Abuse Referral Sheet
• VFC Vaccine Management Plan Template

Resources for Providers

• Vaccine Storage and Handling Toolkit, Centers for Disease Control and Prevention
• Immunization Information for Providers, NYSDOH
• Storage and Handling Handouts: Clinic Resources, Immunization Action Coalition

VFC Provider Training Slides

The PDF versions of the VFC provider trainings are for your reference, and will not count toward training completion requirements for new providers, changes in staff, or annual recertification. More information can be found on the VFC Training website.

• Provider Training Resource Document

For Parents

• Vaccines For Children: For Parents - U.S. Department Of Health & Human Services, Centers for Disease Control and Prevention, and National Immunization Program
• Frequently Asked Questions: Immunizing Your Child, Paying for Immunizations - American Academy of Pediatrics

Questions? Contact the New York State Vaccines for Children Program at nyvfc@health.ny.gov or 1-800-543-7468