Vaccine Transfer Form - Missouri

Vaccine Transfer Form - Missouri

Vaccine Transfer Form is a legal document that was released by the Missouri Department of Health and Senior Services - a government authority operating within Missouri.

FAQ

Q: What is the Vaccine Transfer Form?
A: The Vaccine Transfer Form is a document used in Missouri to facilitate the transfer of COVID-19 vaccines between providers.

Q: Who can use the Vaccine Transfer Form?
A: Healthcare providers in Missouri can use the Vaccine Transfer Form to request or transfer COVID-19 vaccines.

Q: How does the Vaccine Transfer Form work?
A: Providers can request additional doses of COVID-19 vaccines or transfer excess doses to other providers by completing the Vaccine Transfer Form.

Q: Is there a deadline to submit the Vaccine Transfer Form?
A: Yes, providers must submit the Vaccine Transfer Form by 5:00 PM on Wednesdays to be included in the vaccine redistribution for the following week.

Q: Are there any limitations on vaccine transfers?
A: Yes, providers are only allowed to transfer vaccines within the same priority group, and the transferred vaccines must be used within 7 days of receipt.

Q: Who should I contact for more information about the Vaccine Transfer Form?
A: For more information about the Vaccine Transfer Form, you can contact the Missouri Department of Health and Senior Services (DHSS).

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Form Details:

  • Released on March 1, 2014;
  • The latest edition currently provided by the Missouri Department of Health and Senior Services;
  • 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 Missouri Department of Health and Senior Services.

Download Vaccine Transfer Form - Missouri

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