Transcription of California Department of Public Health VACCINES …
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California Department of Public Health VACCINES …
State of California Health and Human Services Agency California Department of Public Health VACCINES FOR children (VFC) PROGRAM. PROVIDER AGREEMENT. To receive publicly funded VACCINES at no cost, I agree to the following conditions, on behalf of myself and all the practitioners, nurses, and others associated with the Health care facility of which I am the medical director or equivalent: I will annually submit a provider profile representing populations served by my practice/facility. 1. I will submit more frequently if 1) the number of children served changes or 2) the status of the facility changes during the calendar year.
State of California—Health and Human Services Agency VACCINES FOR CHILDREN (VFC) PROGRAM California Department of Public Health IMM-1241 (12/16)
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