Vaccine Provider Updates:

Vaccine Provider Updates:

To continue providing VFC vaccines to eligible patients VFC providers must re-enroll each year in the VFC program. The re-enrollment process for the 2016 VFC program year begins on November 13, 2015 and re-enrollment forms will be due to the Arizona Vaccine Center no later than December 18, 2015. 

Arizona VFC enrollment forms can be found on the AZ VFC website

The forms are electronically fillable, and, once completed, should be emailed to: ArizonaVFC@azdhs.gov. In the subject line of your email include your VFC PIN and the phrase “VFC Re-enrollment.” The following forms are required: 

✓ 2016 Arizona VFC Provider Enrollment Agreement 
✓ 2016 ASIIS HIPAA Pledge to Protect Confidential Information 
✓ 2016 VFC ASIIS User Agreement Form 
✓ 2016 VFC Provider Profile Form 
✓ 2016 VFC Refrigerator-Freezer Verification Statement 

Your site’s VFC Coordinator and Backup VFC Coordinator are required to complete annual training such as the CDC webinar “You Call the Shots.” The instructions and link for the webinar can also be found on the AZ VFC website