Immunization Resource Manual & Forms

Healthcare providers participating in the SSV Program are required to comply with state and federal Immunization Program policies and regulations. This manual contains current information about immunization schedules, forms, policies, and vaccine storage and handling, as determined by state, CDC and Advisory Committee on Immunization Practices (ACIP).

Enrollment

• Enrollment 2011-2012
• Enrollment Instructions, 2011-2012
• Federal Vaccines for Children (VFC) Program Terms & Conditions
• KIDSNET Agreement
• State-Supplied Vaccine (SSV) Program Terms & Conditions

ACIP Recommendations

• MMWR General Recommendations
• ACIP Recommendations- by date published

Alerts, Advisories and Updates

• Advisory Committee for Immunization Practices (ACIP), Recommendation
• Immunization alerts, advisories and updates
• VFC: ACIP-VFC Vaccine Resolution

Eligibility Guidelines

• Patient Eligibility for Adult Vaccines

Forms

• SSV Vaccine Order Form xls | pdf
• Special Initiative Vaccine Order Form  (Deborah Porrazzo, 222-7876)
• SFY2012 State-Supplied Vaccine Program Tracking and Reimbursement
• Vaccine Administration Record Form for Adults

Immunization Schedules and State Supplied Vaccines

• ACIP Schedule 0-6 years and 7-18 years and Catch Up
• Adult Immunization Schedule | Summary
• Guidelines for Vaccinating Pregnant Women
• RI Vaccine Policy - Pediatric State Supplied Vaccine
• Pre-Teen & Adolescent Vaccine Information
• Refusal to Vaccinate, AAP Document
• Summary of Recommendations for Child/Teen Immunizations
• Vaccine Contraindications
• RI Recommended Childhood Immunization Schedule

Influenza Vaccine and Reporting Information

• Seasonal Influenza Vaccine Reporting Instructions
• State-Supplied Influenza Vaccine Table

Resources

• Pictures of Vaccine Preventable Diseases
• Pink Book, Epidemiology and Prevention of Vaccine-Preventable Diseases
• Vaccinate Adults!

School Regulations

• Rules and Regulations Pertaining to Communicable Diseases
• Rules and Regulations Pertaining to Communicable Diseases, Colleges
• School Physical Form

Vaccine Administration

• How to Administer SC/ IM
• Medical Management of Vaccine Reactions in Children and Teens
• Screening Questionnaire for Child and Teen

Vaccine Adverse Event Reports, VAERS

• National Vaccine Injury Compensation Program Brochure
• VAERS on line reporting

Vaccine Handling Policies

• CDC Vaccine Storage & Handling Toolkit
• CDC Vaccine Storage & Handling Guide 2011
• Checklist for Vaccine Storing And Handling
• Financial Restitution Policy
• Immunization Program Fraud And Abuse Policy
• TIDE, Teaching Immunization Delivery and Evaluation, Module E
• Vaccine Disaster Recovery Plan
• Vaccine Order Checklist
• Vaccine Return and Emergency Response Worksheet
• RI Vaccine Storage and Handling Guide
• Vaccine Temperature Logs and Troubleshooting Record Fahrenheit/pdf Fahrenheit/xls | Celsius/pdf Celsius/xls

Vaccine Information Statements

• It’s Federal Law
• Provider Responsibilities
• Vaccine Information Statements VIS by Vaccine type