Lisa Wordeman
Vaccine Program Specialist
307-777-2413
LaChel May
Provider Relations Administrative Assistant
307-777-8503
Fax reports to: 307-777-3615
WyVIP Providers in Wyoming by County (clickable map)
2010 Benchmarking
Benchmarking Tally Sheet (Due no later than June 11, 2010)
Frequently Asked Questions About Benchmarking
2010 Non-PHN Child Agreement
2010 Non-PHN Adult Agreement
2010 PHN Child Agreement
2010 PHN Adult Agreement
WyVIP Provider Forms
Vaccines Currently Available through WyVIP (VAC1) updated 06/16/10
Doses Administered Form (VAC2) updated 06/16/10
Vaccine Request Form updated 06/16/10
Special Clinic Order Form (VAC3) updated 06/16/10
Special Clinic Doses Administered Form (VAC4) updated 06/16/10
Flu Doses Administered and Inventory Form (VAC5) updated 02/02/10
Expired and Wasted Vaccine Return Form (VAC6) updated 02/02/10
Vaccine Transfer Form (VAC7) updated 02/02/10
Vaccine Temperature Log - Celcius (VAC9) updated 02/02/10
Vaccine Storage Troubleshooting Report updated 02/02/10
Current Inventory Form (VAC10) updated 06/16/10
Flu Special Clinic Order Form (VAC11) updated 02/02/10
Vaccine Transfer Request (VAC12) updated 02/02/10
Vaccine Arrival Report (VAC13) updated 06/16/10
OTHER INFORMATION
Sharp Shooter Award Information
Handle With Care-Cold Chain Flyer Updated October 6, 2009
Material Request Form 05/25/10
Fill out interactive form, print out and fax to 307-777-3615
Cold Chain and Vaccine Storage and Handling Information
Immunization Section Relevant Contacts as of May 2010