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Form IMM-48 Vaccines for Children Program Request to Update Provider Information - New Jersey
What Is Form IMM-48?
This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form IMM-48?A: Form IMM-48 is a request form used to update provider information for the Vaccines for Children Program in New Jersey.
Q: What is the Vaccines for Children Program?A: The Vaccines for Children Program is a federally funded program that provides vaccines at no cost to children who might not otherwise be vaccinated due to inability to pay.
Q: Who can use Form IMM-48?A: Form IMM-48 can be used by healthcare providers in New Jersey who are enrolled in the Vaccines for Children Program and need to update their information.
Q: What information can be updated with Form IMM-48?A: Form IMM-48 can be used to update provider contact information, hours of operation, and vaccine storage and handling information.
Q: Is there a deadline to submit Form IMM-48?A: There is no specific deadline mentioned for submitting Form IMM-48, but it is recommended to update provider information as soon as there are any changes.
Form Details:
- Released on April 1, 2016;
- The latest edition provided by the New Jersey Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form IMM-48 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.
