This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
New Mexico Vfc Vaccine Administration Form is a legal document that was released by the New Mexico Department of Health - a government authority operating within New Mexico.
Q: What is the New Mexico VFC Vaccine Administration Form?
A: The New Mexico VFC Vaccine Administration Form is a document used for administering vaccines under the Vaccines for Children (VFC) program in New Mexico.
Q: What is the Vaccines for Children (VFC) program?
A: The Vaccines for Children (VFC) program is a federally funded program that provides free vaccines to eligible children who might not otherwise be able to afford them.
Q: Who is eligible for the VFC program in New Mexico?
A: Children who are uninsured, underinsured, Medicaid-eligible, or American Indian or Alaska Native are generally eligible for the VFC program in New Mexico.
Q: Do I need to fill out the New Mexico VFC Vaccine Administration Form for every vaccine dose?
A: Yes, the New Mexico VFC Vaccine Administration Form needs to be filled out for every vaccine dose administered under the VFC program.
Q: What information is required on the New Mexico VFC Vaccine Administration Form?
A: The New Mexico VFC Vaccine Administration Form requires information such as the patient's name, date of birth, vaccine administered, lot number, and the healthcare provider's signature.
Q: Is there a cost to fill out the New Mexico VFC Vaccine Administration Form?
A: No, there is no cost to fill out the New Mexico VFC Vaccine Administration Form as the vaccines provided through the VFC program are free for eligible children.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico Department of Health.