Vaccine order 2026

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  1. Click ‘Get Form’ to open the vaccine order form in the editor.
  2. Enter your clinic's six-digit VFC PIN number at the top of the form. This number is essential for processing your order.
  3. Fill in the name of your physician’s office or clinic as registered with the VFC Program. Ensure this matches your enrollment details.
  4. Specify the delivery address, checking the box if it’s a new address. Remember to include any necessary documentation for address changes.
  5. Indicate all days and times you can receive deliveries, ensuring to account for any lunch breaks or closures.
  6. Record doses used since your last order and current inventory of vaccines on hand, including lot numbers and expiration dates.
  7. Select the vaccines you wish to order, specifying the number of doses requested in multiples of ten, and indicate your packaging preference.
  8. Once completed, fax or mail your order as instructed at the bottom of the form. Always keep a copy for your records.

Start using our platform today to streamline your vaccine ordering process effortlessly!

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