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SC DHEC Immunization Program Vaccine Order Form Childhood ... 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Enter your Provider's PIN, Name, Address, Phone, and Fax. This information will be pre-printed on the form.
  3. In the 'Completed By' section, print your name and date of completion.
  4. Record the number of VFC doses used since your last order. If none were used, enter '0'.
  5. Input the current inventory of VFC doses on hand for each vaccine, including all lot numbers and expiration dates.
  6. Specify the number of VFC doses requested for each vaccine listed in the order form.
  7. If requesting Menveo doses, make a call for approval to our office before submitting your order.
  8. Ensure that you submit inventories for all programs along with this order to avoid delays in processing.

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

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sc dhec immunization form

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