This is a legal form that was released by the Mississippi Department of Health - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 1174?
A: Form 1174 is a Vaccine Accountability and Management Plan Template.
Q: What is the purpose of Form 1174?
A: The purpose of Form 1174 is to track and manage vaccines for the Vaccines for Children (VFC) program.
Q: What is the Vaccines for Children (VFC) program?
A: The Vaccines for Children (VFC) program is a federal program that provides vaccines at no cost to eligible children.
Q: Who is eligible for the Vaccines for Children (VFC) program?
A: Eligibility for the VFC program is based on factors such as Medicaid eligibility, uninsured status, and American Indian or Alaska Native status.
Q: What is the Vaccine Accountability and Management Plan?
A: The Vaccine Accountability and Management Plan is a document that outlines the processes and procedures for tracking and managing vaccines in the VFC program.
Q: What does the Form 1174 template include?
A: The Form 1174 template includes sections for recording vaccine information, inventory management, temperature monitoring, and vaccine reconciliation.
Q: Who should use Form 1174?
A: Form 1174 should be used by healthcare providers participating in the VFC program in Mississippi.
Form Details:
Download a fillable version of Form 1174 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.