Free Clinics – Flu Only
The Association of Free Clinics works closely with the Division of Immunization to offer Influenza vaccine for uninsured and underinsured adults. Free Clinics must use continuous temperature monitoring devices, (data loggers) to ensure vaccine viability.
Clinics Offering Influenza and other ACIP recommended vaccines for adults
(Free Clinics, FQHCs, RHCs, CHCs)
Vaccine Use Guidelines
Uninsured or Underinsured Adults (19 years of age and older)
Uninsured and underinsured adult clients should receive all ACIP recommended vaccines using DOI-supplied vaccine according to the current Recommended Adult Immunization Schedules http://www.cdc.gov/vaccines/schedules/hcp/adult.html
Underinsured is defined as: A person who has commercial (private) health insurance, but the coverage does not include vaccines; a person whose insurance covers only selected vaccines (eligible for non-covered vaccines only); or a person whose insurance caps vaccine coverage at a certain amount. Once that coverage amount is reached, the person is categorized as underinsured.
- Adult Eligibility Screening Record
- Adult Order Form
- Return/Transfer Form (Right click and choose save link as… to use the Adobe Fillable form feature.)
- FluMist Quadrivalent Replacement Program
- VVFA Routine Vaccine Management Plan
- NEW! 2019-2020 Flu Vaccine Pre-book Form