Idph template il 2026

1. Click ‘Get Form’ to open the idph template il in the editor.
2. Begin by entering your practice name in the designated field. Ensure that it is clearly printed or typed for legibility.
3. Input the 6-digit PIN assigned to your practice. This is crucial for identification and tracking purposes.
4. Fill in the 'Date Reviewed/Updated' section with the current date, ensuring compliance with annual review requirements.
5. Complete the fields for 'Person Preparing Plan' and their signature. This identifies who is responsible for the document.
6. Designate a Primary Vaccine Coordinator and at least two Back-up Coordinators, including their contact information, ensuring they have 24-hour access to vaccine storage.
7. Review all entries for accuracy before saving or exporting your completed form. Utilize our platform's features to ensure everything is correctly filled out.

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