• Immunization & Child Profile Office
• For Schools and Parents
• Immunizations
• For Health Care Providers
• Vaccines
• Forms and Publications

• Department of Health Home
• Prevention & Community  Health
   

• Site Visit Forms
• Local Health Jurisdiction Site Visit Planning and Reporting
• VFC/AFIX Site Visit Protocols and Guidance
• VFC and AFIX Provider Resources

• Quality Assurance Activity Coversheet (Word, 123KB)
• VFC Provider Compliance Site Visit Questionnaire
  • Word file (431KB) Fill out this version electronically by tabbing from field to field.
  • PDF file (266KB) Print this version to fill out by hand.
• VFC Provider Compliance Site Visit Questionnaire - Short Version (Word, 49KB) This version is OK to share with providers before the site visit.
• Section II: Standards for Pediatric and Adolescent Immunization Practices (Word, 116KB)
• Answer Key and Corrective Action Tracking (Word, 208KB)
• Chart Documentation Worksheet (Word, 53KB)
• VFC Provider Compliance Site Visit Readiness Checklist (PDF, 61KB)
• List of Resources to Take to VFC Provider Site Visits (PDF, 105KB)

AFIX Site Visits

• AFIX Feedback Session and Provider Summary Form (Word, 157KB)
• Standard Resources for AFIX Feedback Visits (PDF, 80KB)

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• Site Visit Progress Report Form (Word, 259KB)
• Site Visit Selection Planning Form (Word, 134KB)

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• VFC/AFIX Site Visit Selection Protocol (PDF, 88KB)
• Summary Matrix for the VFC Program (PDF, 83KB)
• Washington Vaccine Administration Fee Matrix (PDF, 38KB)

AFIX

• Adolescent-Only AFIX Visit Protocol (PDF, 97KB)
• Downloading Provider Records from the Washington State Immunization Information System (PDF, 30KB)
• Importing Patient Records from the Washington State Immunization Information System into CoCASA (PDF, 31KB)
• Running CoCASA Reports (PDF, 33KB)
• CoCASA: Setting up for Manual Data Entry (PDF, 35KB)
• Reminder Recall Strategies in the Child Profile Immunization Registry (PDF, 506KB)
• CoCASA Users Guide (Centers for Disease Control and Prevention)
• CoCASA Algorithm Reference (Centers for Disease Control and Prevention)

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VFC

• Enrollment and Training Resource Packet for New and Existing Providers (PDF, 29KB)
• Recommended Immunization Resources (PDF, 41KB)
• Vaccine Storage and Handling Plan Templates. Each provider who gets state-supplied vaccine must have written plans and procedures for vaccine ordering, storage, handling, and accountability. Use the following templates to meet this requirement:
  • Plan 1. Vaccine Coordinator Contact Information Template (Word, 81KB)
  • Plan 2. Vaccine Storage and Handling Plan Template (Word, 87KB)
  • Plan 3. Vaccine Receiving and Transport Plan Template (Word, 92KB)
  • Plan 4. Vaccine Storage Emergency Plan Template (Word, 90KB)
  • Plan 5. Emergency Plan Annual Review Documentation Template (Word, 83KB)
  • Plan 6. Vaccine Ordering Plan Template (Word, 84KB)
  • Plan 7. Vaccine Inventory Control Plan Template (Word, 83KB)
  • Plan 8. Vaccine Wastage Plan Template (Word, 87KB)

AFIX

• AFIX (Centers for Disease Control and Prevention)
• CoCASA (Centers for Disease Control and Prevention)
• Getting Ready for Your AFIX Site Visit (Word, 957KB)
• Welcome to CoCASA (Word, 148KB)
• Using CoCASA (Word, 354KB)

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Last Update: 02/21/2012 12:56 PM