Arizona vfc patient immunization log 2025

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The document is an Arizona VFC Patient Immunization Log, which serves as a record for tracking immunizations administered to patients aged 0-18 years. It includes sections for patient information, vaccine types, dosages, and administration details. The log must be retained for three years and outlines various vaccines such as Influenza, Varicella, Tdap, and others.

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What are the requirements for VFC vaccine documentation?

In ance with federal law, VFC providers must maintain immunization records that include ALL of the following elements: (1) name of vaccine administered; (2) date vaccine was administered; (3) date VIS was given; (4) publication date of VIS; (5) name of vaccine manufacturer; (6) vaccine lot number; (7) name and

What is Asiis?

Arizona State Immunization Information System (ASIIS)

What are VFC program records?

All VFC Program providers must screen for a childs eligibility to receive vaccines through the VFC Program and record the screening results during each visit. The patient eligibility screening record provides a means of recording parent responses to VFC Program eligibility questions.

When should screening and documentation of VFC eligibility be conducted?

VISs are required by law 300aa-26 [2 pages]) to give the appropriate VIS to the patient (or parent or legal representative) prior to every dose of specific vaccines. The appropriate VIS must be given prior to the vaccination, and must be given prior to each dose of a multi-dose series.

What is required documentation when giving a vaccine?

By law, the following information must be documented on the patients paper or electronic medical record (or on a permanent office log): The vaccine manufacturer. The lot number of the vaccine. The date the vaccine is administered.

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What constitutes sufficient documentation for vaccine counseling?

For example, documentation should list all vaccine components along with a notation such as counseling for all components completed. The documentation format (eg, checkbox, handwritten, electronic template) for this service should be the same as for other services.

Arizona vfc patient immunization log 2025

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What are the requirements for VFC vaccine documentation?

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When should screening and documentation of VFC eligibility be conducted?

What is required documentation when giving a vaccine?

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What constitutes sufficient documentation for vaccine counseling?

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