Immunization BranchCentral Office1100 West 49th StreetAustin, Texas 78756
Phone: (512) 776-3711 Fax: (512) 458-7288TVFC Provider Enrollment Fax: (512) 776-7743
CONTENTS:
Pediatric Biological Order Form (#C-68-1) (Rev 09/2010) (Excel)
(Adult Biological Order Form (#C-68-2) (Rev 09/2010) (Excel)
DSHS Monthly Report: Biological Report (#C-33) (Rev 10/2010) (PDF)
Temperature Recording Form (#C-105) (PDF)
TVFC "Fraud and Abuse" Pamphlet (#11-10373)
Vaccine Loss Report Instructions & Forms (#C-69) (PDF)
Vaccine may be administered only to children that qualify for the Texas Vaccines For Children Program – Clinics may not charge for the cost of the vaccine.
Proceed to Section 3. Vaccine Storage and Handling