Provider Resource Guide

All documents are in Adobe Acrobat PDF () format unless otherwise indicated.

Contact Information

• Immunization Branch Contact Information
• Regional Immunization Nurse Consultants (RINs)
• Regional Immunization Program Consultants (RICs)
  
• Communicable Disease Control Nurse – County Health Departments 8-5-10
• Important Website Information

North Carolina Immunization Program & Policy Information

• Provider Vaccine Agreement
• Responsibilities of Provider Office
• Disaster Recovery Plan
• Financial Restitution
• NC Immunization Law
• Borrowing Policy Memo and Borrowing Policy Form

Clinical/Administrative Information

• Suggested Supplies Checklist for Pediatric & Adult Immunization Clinic
• Standards for Child & Adolescent Immunization Practices
• Standards for Adult Immunization Practices

Screening Section

• Coverage Criteria
• Screening Questionnaire for Child and Teen Immunization
• Determining Eligibility for Vaccines Indicated as VFC-Only

Administration Section

• Check Your Vials
• The Facts about Using VISs

Documentation Section

• Vaccines Administered Log
• Vaccine Administration Record
• Adult Vaccine Administration Record
• Medical Exemption Statement
• Physician’s Request for Medical Exemption

Billing Section

• NCIP Billing Brief