Form 1174 Vaccine Accountability and Management Plan Template - Vaccines for Children (Vfc) Program - Mississippi

Form 1174 Vaccine Accountability and Management Plan Template - Vaccines for Children (Vfc) Program - Mississippi

What Is Form 1174?

This is a legal form that was released by the Mississippi Department of Health - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 1174?
A: Form 1174 is a Vaccine Accountability and Management Plan Template.

Q: What is the purpose of Form 1174?
A: The purpose of Form 1174 is to track and manage vaccines for the Vaccines for Children (VFC) program.

Q: What is the Vaccines for Children (VFC) program?
A: The Vaccines for Children (VFC) program is a federal program that provides vaccines at no cost to eligible children.

Q: Who is eligible for the Vaccines for Children (VFC) program?
A: Eligibility for the VFC program is based on factors such as Medicaid eligibility, uninsured status, and American Indian or Alaska Native status.

Q: What is the Vaccine Accountability and Management Plan?
A: The Vaccine Accountability and Management Plan is a document that outlines the processes and procedures for tracking and managing vaccines in the VFC program.

Q: What does the Form 1174 template include?
A: The Form 1174 template includes sections for recording vaccine information, inventory management, temperature monitoring, and vaccine reconciliation.

Q: Who should use Form 1174?
A: Form 1174 should be used by healthcare providers participating in the VFC program in Mississippi.

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Form Details:

  • Released on October 11, 2022;
  • The latest edition provided by the Mississippi Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form 1174 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.

Download Form 1174 Vaccine Accountability and Management Plan Template - Vaccines for Children (Vfc) Program - Mississippi

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