Program Requirements 

• VFC Provider Agreement (PDF) 
• CA Provider Agreement Addendum (PDF) 
• Requirements at a Glance (PDF) 
• Recertification FAQs (PDF) 
• Participation Withdrawal Request Form (PDF)

Eligibility Screening 

• Eligibility Screening & Documentation Requirements 
• Eligibility Screening Record (PDF) | Eligibility Screening Record in Spanish (PDF) 

Preparing for Flu 

• FLU Action Plan: 3 Habits of Highly Successful VFC Clinics (PDF) 
• Flu Orders Dashboard – How to Use | Dashboard Flyer (PDF) 
• Flu Usage Log (PDF) 
• Prepare Your Practice to Fight Flu (CDC) 
• I Got My Flu Shot sticker template (PDF) | B & W copy (PDF) | Avery label 94506 (PDF)

Vaccine Guidance 

See resources for all providers. 

• Schedules & Recs  
• Clinic Resources (see product guides, fact sheets, VISs, standing orders & more) 
• Health Education Materials for Patients

Vaccine Management 

• Storage & Handling Resources 
• Inventory Management Resources