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HEALTH CARE PROVIDERS: How do I become a H1N1 vaccine provider?

• H1N1 Provider Contract [PDF]
• Guideline Checklist and Full Guidance Document - Scroll down to “guidelines for use of state supplied H1N1 vaccine” and click “H1N1 Vaccine Management Guidelines Checklist” and H1N1 Vaccine Management Guidelines” (DOH Site)

How do I order H1N1 vaccine?

• H1N1 Order Form [PDF]
• H1N1 Influenza Vaccine Ordering Instructions [PDF]

What do I need to know about storing and handling the vaccine?

• H1N1 Intranasal Spray Vaccine Storage and Handling [PDF] 
• H1N1 Injectable Vaccine Storage and Handling [PDF] 

• Temperature Log - Scroll down to “Vaccine Management Forms” and click on “Temperature Monitoring Log” (DOH Site) Detailed Guide for Storage and Handling of Vaccine (CDC Site)

What do I need to know about administering the vaccine?

• H1N1  Vaccine Provider Administration Guide - Click on “Influenza 2009: H1N1 Pandemic Influenza Vaccine Provider Guide” (CDC Site)

General Vaccine Safety (CDC Site) Thimerosal (CDC Site) Guillain-Barré syndrome (GBS) (CDC Site) Senior Citizens (CDC Site) Pregnant Women (CDC Site) H1N1 Influenza Vaccine Presentation Specific Information - Click on vaccine manufacturers in the “approved vaccine” box (FDA Site)

What information about H1N1 Influenza vaccine is available for patients?

• H1N1 LAIV Intranasal and Inactive IM Vaccine Information Sheets - Click on VIS links underneath “2009  H1N1 Influenza VISs” header. (CDC Site) 

How do I know if I am handling H1N1 vaccine correctly?

• Storage and Handling Checklist [PDF]

How do I report an H1N1 vaccine incident?

• Vaccine Incident Guide [PDF]
• Unusable H1N1 Vaccine Report Form [PDF]

How do I plan for H1N1 vaccine management in an emergency?

• Vaccine Storage Emergency Plan [PDF]

What do I do with H1N1 vaccine in case of an emergency?

• Storage Incident Guide [PDF]
• Manufacturer Contact Information Guide (CDC Site)

How do I screen for contraindications?

• H1N1 Health Screening Questionnaire (DOH Site)

English [PDF]   Spanish [PDF]   

Can I charge fees and/or bill insurance?

• Quick Billing Guide  [PDF] 
• Detailed DOH Billing Matrix - Scroll down the page to “Tools for Providers” and click on “Washington H1N1 Vaccine Administration Fee Matrix” (DOH Site)

What do I need to report?

• Reporting Guidelines [PDF] 
• Monthly Accountability Report   *PDF   *EXCEL

Communicable Disease Updates

Click Here...For a list of Communicable Disease Updates from Dr. Yu.

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