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Provider Portal

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Welcome to the VFC provider portal section of our website, where you'll find new provider information, enrollment and re-enrollment forms, information, frequently asked questions, and more.

TIP: Use the table of contents below to navigate down to the various groups of documents available on this page. Then, click a "return to top" link to jump back up to the table of contents at any time.



Table of Contents


Enrollment & Re-Enrollment

New Providers

  • VFC Provider Benefits (Archived Publication)
  • VFC Frequently Asked Questions (Archived Publication)
  • VFC New Provider Enrollment Information (Archived Publication)
  • VFC New School Enrollment Information
  • VFC New Provider Application

Current Providers

Annual re-enrollment is done online, directly through the NMSIIS web application. Please login to the Statewide Immunization Information System (NMSIIS) to get started with the process.

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General Information

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Forms & Instructions

  • VFC Provider NM Health Passport Order Form (Archived Publication)
  • VFC Transport Instructions for Refrigerated Vaccines (Archived Publication)
  • VFC Transport Temperature Log Form for Refrigerated Vaccines (Archived Publication)
  • VFC Transport Instructions for Frozen Vaccines (Archived Publication)
  • VFC Transport Temperature Log Form for Frozen Vaccines (Archived Publication)
  • VFC Vaccine Administration Form (Part B) Instructions (Archived Publication)
  • VFC Vaccine Administration Form (Part B)
  • VFC Vacuna Forma Administración (Parte B) (Archived Publication)
  • VFC Approved School Sites - Needle, Syringe, & e-kit Order Form (Archived Publication)
  • VFC Adding Frozen Vaccine to Inventory on NMSIIS (Archived Publication)
  • VFC Returning Expired, Spoiled/Non-Viable or Wasted Vaccines in NMSIIS
  • VFC TSR Form (Archived Publication)
  • VFC Provider Staff Change of Contact and uploading Training (Archived Publication)
  • VFC Physician Signing Agreement Change of Contact (Archived Publication)

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School Vaccine Administration Forms

  • VFC Middle School Vaccination Letter/Permission Form (Archived Publication)
  • VFC Middle School Vaccination Letter/Permission Form (Spanish) (Archived Publication)
  • VFC School Immunization Consent Form (Archived Publication)
  • VFC School Immunization Consent Form (Spanish) (Archived Publication)

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Provider Temperature Log Forms

  • Temp Log Example and Frequently Asked Questions (Archived Publication)
  • VFC Metro Region Temperature Log Form (Archived Publication)
    County: Bernalillo
  • VFC Northwest Region Temperature Log Form (Archived Publication)
    Cibola, McKinley, San Juan, Sandoval, Torrance, and Valencia
  • VFC Northeast Region Temperature Log Form (Archived Publication)
    Colfax, Guadalupe, Harding, Los Alamos, Mora, Rio Arriba, San Miguel, Santa Fe, Taos, and Union
  • VFC Southeast (A) Region Temperature Log Form (Archived Publication)
    Chaves, Curry, DeBaca, Lincoln, and Quay
  • VFC Southeast (B) Region Temperature Log Form (Archived Publication)
    Eddy, Lea, Lincoln, and Roosevelt
  • VFC Southwest Region Temperature Log Form (Archived Publication)
    Catron, Dona Ana, Grant, Hidalgo, Luna, Otero, Sierra, and Socorro

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Instructional Setup Guides

Digital Data Loggers

Videos

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Vaccine Screening Forms

These screening forms from the Immunization Action Coalition (IAC) are useful in identifying patients who should not be vaccinated due to health or age concerns.

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