Vaccines for Children Program Resources

VFC Providers Forms

• For All Providers:

  • Vaccines For Children (VFC) Program Protocols (pdf)
  • Vaccines For Children (VFC) Program Patient Eligibility Screening Record Form (DHEC 1146) (pdf)
  • Vaccine For Children (VFC) Program Patient Eligibility Screening Record Form, Español (DHEC 1146S) (pdf)
  • Vaccines For Children (VFC) Vaccine Borrowing Report (DHEC 1167) (pdf)
  • Vaccines For Children (VFC) Seasonal Influenza Vaccine Borrowing Report (DHEC 3226)
  • South Carolina Vaccine Transfer Form (DHEC 1208) (pdf)
  • South Carolina Vaccine Wastage and Return Form (DHEC 1209) (pdf)
  • South Carolina Freezer Temperature Log - Celsius for Vaccine Storage Units (DHEC 3265) (pdf)
  • South Carolina Refrigerator Temperature Log - Celsius for Vaccine Storage Units (DHEC 3266) (pdf)
  • South Carolina Vaccine Program(s) Disenrollment Form (VFC or SC State) (DHEC 1984) (pdf)
  • Vaccines For Children (VFC) Program Suspected Fraud and/or Abuse Referral Sheet Form (DHEC 1997) (pdf)

• For Private Providers Only:

  • Immunization Information Form (DHEC 1103V) (pdf) – Optional documentation form
  • Pediatric Vaccine Doses Administered Worksheet (DHEC 1150) (pdf) – Optional documentation form
  • SC Vaccine Inventory Log (DHEC 1131) (pdf) – Optional documentation form
  • VFC Program Vaccine Order Form (DHEC 1117) - Available upon validation of enrollment
  • Provider VFC Eligibility Flow Chart (pdf)

• For DHEC Only:

  • Vaccines For Children (VFC) Program Patient Eligibility Screening Record Form in DHEC Health Departments (DHEC 1146D) (pdf)
  • Vaccine For Children (VFC) Program Patient Eligibility Screening Record Form in DHEC Health Departments Español (DHEC 1146DS) (pdf)
  • VFC Program DHEC Clinic VFC Vaccine Order Form (DHEC 1130) - Available upon validation of enrollment
  • DHEC Non-VFC Vaccine Order Form (DHEC 1226) - Available upon validation of enrollment

• Vaccine Order Forms

  • Enrolled providers can access vaccine order forms via SCIAPPS.

• South Carolina State Vaccine Program Protocol (pdf)

VFC Provider Training

• VFC Training Resources and Annual Provider Trainings:

  • Continuing Education (CE) for Immunization Courses
  • CDC Public Health Online Training Website
  • Current CDC Vaccine Storage and Handling Toolkit
  • Immunization: You Call the Shots - MODULE SIXTEEN - Vaccines For Children Program
  • Immunization: You Call The Shots - MODULE TEN - Storage and Handling
  • WD2215: Keys to Storing and Handling Your Vaccine Supply

Frequently Asked Questions

• VFC Provider Frequently Asked Questions (pdf)

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If you have questions specific to VFC/SC State Vaccine program enrollment(s), please contact the Immunization Division's VFC Program at 800-277-4687.

If you have questions specific to accessing SCIAPPS, please contact the Help Desk at (800) 277-4687, option 3.

Thank you for your support in immunizing the children of South Carolina.