VFC Program Forms and Resources

Forms/Guidance Documents

1. Estimating Patient Population
2. VFC Enrollment Packet: Provider Agreement, Profile, and Storage and Handling Plan
3. Storage Unit Purchasing Guidance
4. Vaccine Storage Unit Maintenance
5. Guidance for Performing a Manual Freezer Defrost
6. Temperature Monitoring Device Guidance
7. Temperature Excursion Report
8. Temperature Log for Refrigerator – Fahrenheit
9. Temperature Log for Refrigerator – Celsius
10. Temperature Log for Freezer – Celsius
11. Temperature Log for Freezer – Fahrenheit
12. Separation of Public and Private Vaccines
13. Guidance for Vaccine Transport
14. Order Review Process
15. NYSIIS Returns/Wastage Training Handout
16. Job Aid: Monitoring Expiration Dates
17. Job Aid: Return or Discard
18. Vaccine Borrowing Form
19. Vaccine Restitution Policy
20. Patient Eligibility for Publicly-funded Vaccines
21. Fraud and Abuse Referral Sheet
22. NYS VFC Fridge-Tag2L Data Logger Training Slides
23. Pharmacy Provider Agreement
24. Pharmacy Storage and Handling Plan
25. Non-viable Vaccine Reporting Form
26. VFC Provider Type and Specialty Definitions
27. VFC Vaccine Management Plan Template
28. Guidance for Prebooking Flu Vaccine in NYSIIS
29. 2026 Annual Provider Review Survey Instructions

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