Form IMM-48 Vaccines for Children Program Request to Update Provider Information - New Jersey

Form IMM-48 Vaccines for Children Program Request to Update Provider Information - New Jersey

What Is Form IMM-48?

This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form IMM-48?
A: Form IMM-48 is a request form used to update provider information for the Vaccines for Children Program in New Jersey.

Q: What is the Vaccines for Children Program?
A: The Vaccines for Children Program is a federally funded program that provides vaccines at no cost to children who might not otherwise be vaccinated due to inability to pay.

Q: Who can use Form IMM-48?
A: Form IMM-48 can be used by healthcare providers in New Jersey who are enrolled in the Vaccines for Children Program and need to update their information.

Q: What information can be updated with Form IMM-48?
A: Form IMM-48 can be used to update provider contact information, hours of operation, and vaccine storage and handling information.

Q: Is there a deadline to submit Form IMM-48?
A: There is no specific deadline mentioned for submitting Form IMM-48, but it is recommended to update provider information as soon as there are any changes.

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Form Details:

  • Released on April 1, 2016;
  • The latest edition provided by the New Jersey Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form IMM-48 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.

Download Form IMM-48 Vaccines for Children Program Request to Update Provider Information - New Jersey

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  • Form IMM-48 Vaccines for Children Program Request to Update Provider Information - New Jersey, Page 1
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