VFC INFORMATION
ARKANSAS VFC REPRESENTATIVES BY REGION
Northwest Region West
Gina Cox: gina.cox@arkansas.gov
479-968-6004 (o) 479-264-9551 (c)
Pope County LHU
Northwest Region Central
Doraine Owen: Doraine.ussery-owen@arkansas.gov
870-448-3374 (o) 870-204-4777 (c)
Searcy County LHU
Northeast Region
Allison Pinkley: allison.pinkley@arkansas.gov
870-933-4585 (o) 870-273-3564 (c)
Craighead County LHU
Central Region
Alicia Clark: alicia.clark@arkansas.gov
501-624-3394 (o) 501-249-8485 (c)
Garland County LHU
Southeast Region
Jamie Henderson: jamie.henderson@arkansas.gov
870-367-6234 (o) 870-224-1439 (c)
Drew County LHU
Southwest Region
Susan Carter: susan.carter@arkansas.gov
479-394-1597 (o) 870-807-0601 (c)
Polk County LHU
VFC State Coordinator
VACANT
VFC PROVIDER TOOLKIT
ENROLLMENT
Enrollment Forms
VFC Provider Agreement-Download to Adobe
VFC Enrollment Packet
Temp Log to Approve a New or Existing Storage Unit
VFC Vaccine Coordinator - Roles and Responsibilities
Arkansas Immunization Registry / WebIZ Information
WebIZ Registration (Arkansas Department of Health Website)
WebIZ HL7 v2.5-a Implementation Guide
WebIZ New User Enrollment Form
WebIZ New Facility Enrollment Form
Storage and Handling
Vaccine Storage and Handling Toolkit
Checklist for Safe Storage and Handling
Temperature Logs Celsius and Fahrenheit (Excel File)
You Call The Shots Storage And Handling (2022)
Inventory Management
VFC/SCHIP Order, Available on the WebIZ Home Page
Vaccine Return Form, Available on the WebIZ Home Page
Supplies and Vaccine Administration
Suggested Supplies Checklist for Immunization Clinics
Medical Management of Vaccine Reactions
Vaccine Administration Skills Check List
Vaccine Information Sheets (VIS)
By federal law, you must provide current VIS
Centers for Disease Control and Prevention (CDC) VIS's for all immunizations
Current list of VISs available in 30 languages
Vaccine Adverse Event Reporting System (VAERS)
Resources
New Providers:
Vaccines available through the VFC Program are those recommended by the Advisory Committee on Immunization Practices (ACIP). These vaccines protect babies, young children, and adolescents from 16 diseases. If you are interested in becoming a VFC Provider, please contact the VFC Program at 501.661.2170 or email rachel.odom@arkansas.gov
Re-enrolling Providers:
Please complete the annual training, the Provider Enrollment Form and the Provider Profile and follow the instructions below:
Download and save the Adobe forms to your desktop
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Save each using Clinic Name and VFC Pin# for easy identification
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After saving the forms, complete the information in the forms
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Save the completed forms for your records
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Email a copy of the completed forms with your clinic name and VFC Pin# in the email subject line to rachel.odom@arkansas.gov
