Program Requirements

• VFA Provider Agreement (PDF) 
• VFA Provider Agreement Addendum (PDF) 
• Requirements at a Glance (PDF) 
• VFA FAQs 
• Recertification FAQs (PDF) 
• Participation Withdrawal Request Form (PDF) 
• Section 317 Program Requirements Lesson (PDF)

Eligibility Screening 

• Vaccine Eligibility Guidelines for CHCs (PDF) (VFC/VFA table tent) 
• 317 Eligibility Based on Insurance Status (PDF)
  • Eligibility Flow Chart (PDF)
• VFA Patient Vaccine Poster (PDF) | Spanish (PDF) 

How to Document  

• 317 Eligibility Screening & Documentation Requirements 
• 317 Eligibility Screening Record for Adult Patients (PDF) 
  • Spanish: Screening Record (PDF)

Ordering

• VFA Ordering & Distribution Calendars 

Vaccine Guidance 

See resources for all providers. 

• Schedules & Recs  
• Clinic Resources (see product guides, fact sheets, VISs, standing orders & more) 
• Health Education by Vaccine & Population

Vaccine Management 

• Storage & Handling Resources 
• Inventory Management Resources