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if you are a health care provider in the state of louisiana trying to enroll in the covid19 vaccination program the louisiana department of health in accordance with the cdc requires the following procedure step one complete and submit the cdc provider agreement which will also enroll your facility in the louisiana immunization network links if it is not already enrolled step two if you will be distributing covid19 vaccines from one facility to another complete and submit the cdc redistribution agreement step 3 wait to be contacted by ldh about covid19 vaccine allocations this video will walk you through the process of filling out the cdc provider agreement the cdc provider agreement form makes healthcare providers eligible to receive and administer the covid19 vaccine when completing this form do not leave any fields blank section a consists of general organization information first enter your organizations legal name if your organization has multiple vaccination locations list the