Common Contracts

1 similar CDC Covid-19 Vaccination Program Provider Agreement contracts

Steps to Complete the Program Provider Enrollment Process
CDC Covid-19 Vaccination Program Provider Agreement • October 23rd, 2020

Every healthcare organization/vaccination provider that would like to order and receive COVID-19 vaccine will need to complete the CDC COVID-19 Vaccination Program Provider Agreement. The forms can be found on the Alaska COVID-19 Vaccine Information for Healthcare Workers website. This is a separate agreement from the Alaska Immunization Program (VFC and AVAP). Current VFC or AVAP providers need to complete and submit the CDC COVID-19 Vaccination Program Provider Agreement to provide COVID-19 vaccine in Alaska.

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