Programs & Tools:
VFC: Provider Site Visit Questionnaire
Vaccines for Children Program Topics:
On this page:
2010 VFC Provider Site Visit Questionnaire
- 2010 VFC Provider Site Visit Questionnaire
[PDF-224KB] (compliant)
Updated oct 2009
This form is to be completed by the public health official who is conducting the site visit review.
- 2010 VFC Provider Site Visit Questionnaire High Priority Answer Key [PDF-71KB] (compliant) Sept 2009
Answer key for high priority questions.
2009 VFC Provider Site Visit Questionnaire
- 2009 VFC Provider Site Visit Questionnaire [PDF-235KB] updated Dec 30, 2008
This form is to be completed by the public health official who is conducting the site visit review. - 2009 VFC Provider Site Visit Questionnaire High Priority Answer Key [PDF-62KB]Added Sep 2008
Answer key for high priority questions.
(
(
Accessibility Note: Text-only formats are supplied for editing purposes (modifying to fit the needs of your group) and for screen-reader devices. Should you have trouble with any of these text-only documents, please contact the web master at: www.cdc.gov/vaccines/about/contact/web_suggestion_form.htm
Accessibility Note: Those links currently only provided as .pdf files will soon be available in text-only format for text readers. Until then, please contact NIPINFO@cdc.gov for assistance.
This symbol means you are leaving the CDC.gov Web site. For more information, please see CDC's Exit Notification and Disclaimer policy.
File Formats: All viewers, players, and plug-ins used on this site can be downloaded from the file formats page. (For example: Adobe Acrobat Reader for pdf files, Windows Media Player for audio and video files, PowerPoint Viewer for presentation slides, etc.)
Content last reviewed on September 30, 2008
Content Source: National Center for Immunization and Respiratory Diseases
