PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
the document
for the current year.
New Mexico Vfc Vaccine Administration Form - New Mexico
New Mexico Vfc Vaccine Administration Form is a legal document that was released by the New Mexico Department of Health - a government authority operating within New Mexico.
FAQ
Q: What is the New Mexico VFC Vaccine Administration Form?A: The New Mexico VFC Vaccine Administration Form is a document used in New Mexico to record the administration of vaccines through the Vaccines for Children (VFC) program.
Q: What is the VFC program?A: The VFC program is a federally funded program that provides free vaccines to eligible children who are uninsured, underinsured, or Medicaid-eligible.
Q: Who can use the New Mexico VFC Vaccine Administration Form?A: Healthcare providers in New Mexico who participate in the VFC program can use the New Mexico VFC Vaccine Administration Form.
Q: What information is recorded on the form?A: The form records information such as the patient’s demographics, vaccine details (including lot number and expiration date), and the provider’s information.
Form Details:
- Released on January 1, 2023;
- The latest edition currently provided by the New Mexico Department of Health;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico Department of Health.
Download New Mexico Vfc Vaccine Administration Form - New Mexico
1
2
3
