Lisa Wordeman
Vaccine Program Specialist
307-777-2413
lisa.wordeman@wyo.gov
LaChel May
Provider Relations Administrative Assistant
307-777-8503
Fax reports to: 307-777-3615
lachel.may@wyo.gov
Vaccine Replacement Policy November 2011
WyVIP Providers in Wyoming by County (clickable map)
WyVIP Provider Forms
Current Inventory Form (VAC10) 3/05/12
Doses Administered Form (VAC2) 3/05/12
Expired and Wasted Vaccine Return Form (VAC6) 3/05/12
Flu Vaccine Request Form (VAC11)
Influenza Doses Administered and Inventory Form (VAC5)
Special Clinic Order Form (VAC3) 3/05/12
Special Clinic Doses Administered Form (VAC4) 3/05/12
Vaccine Borrowing Form 3/05/12
Vaccine Request Form 3/05/12
Vaccine Storage Troubleshooting Report
Vaccine Transfer Form (VAC7)
Vaccine Temperature Log - Celcius (VAC9)
Vaccine Transfer Request (VAC12)
Vaccines Currently Available through WyVIP (VAC1) 3/05/12
Withdrawal from Program form (VAC13)
OTHER INFORMATION
Flu Season 2011-2012 Information
Click HERE for more information on flu
Immunization Program Relevant Contacts as of February 2012
Vaccine Storage and Handling
VAERS (Vaccination Adverse Event Reporting System)