Managing TVFC ASN Providers
In order to ensure that TVFC & ASN providers operate in accordance with TVFC & ASN standards and policies, responsible entities play an active role in the leadership, organization and coordination of:
- TVFC & ASN Standards and Policies
- Vaccine Management
- Data Reporting
- Program Evaluation
- Documentation Requirements
- Deadlines
- Responsible Entity (RE) Accountability
- Forms and Tools
- Immunization Resources
For more information about Managing TVFC & ASN Providers, please view the TVFC & ASN Operations Manual and the additional resources listed below.
Documents
- Adult Biological Order Form (EC-68-2) (for new clinic sites)
- Adult Eligibility Screening Record (F11-12842)
- Changes to Enrollment Form (11-15224)
- Combined Tally and Physical Inventory (C-88) (found in EVI)
- Monthly Biological Report (C-33) (generated in EVI)
- New Enrollment Checklist (11-15016)
- Pediatric Biological Order Form (EC-68-1) (for new clinic sites)
- Pediatric Eligibility Screening Record (C-10)
- Provider Withdrawal Form (F11-11443)
- Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger
- Recommended Immunization Schedule for Adults Aged 19 Years and Older
- Temperature Recording Form (Freezer-Celsius) (EC-105-FC)
- Temperature Recording Form (Freezer - Fahrenheit) (EC-105-FF)
- Temperature Recording Form (Refrigerator-Celsius) (EC-105-RC)
- Temperature Recording Form (Refrigerator-Fahrenheit) (EC-105-RF)
- TVFC/ASN Provider Agreement Form*
- Vaccine Borrowing Form (EF11-14171)
- Vaccine Loss Report (generated in EVI)
- Vaccine Management Plan Templates (E11-14498) *
- Vaccine Services to Female Veterans (online survey) *
- Vaccine Transfer Authorization Form (EC-67) *
- VAERS Reporting Form
Immunization Program Responsible Entity (IPRE) Training
The Immunization Program Responsible Entity (IPRE) Training is an annual event that brings together responsible entities staff from around the state to discuss various topics surrounding oversight of TVFC and ASN providers.
Review presentations from the 2022 IPRE Training.
Previous IPRE Training Resources: