Ottawa Public Health Vaccine Order Form Instructions
This form is used by healthcare providers to order vaccines from Ottawa Public Health. Fill out all the required information fields and submit the form via email or fax. Ensure to attach the temperature log for the month when placing a new vaccine order.
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How do I fill this out?
To fill out the form, ensure you complete all the required fields clearly. Include information such as the name of the doctor or clinic, contact details, and the type of vaccines being ordered. Submit the completed form along with the temperature log for the month.
How to fill out the Ottawa Public Health Vaccine Order Form Instructions?
1
Fill out the date and attention fields.
2
Enter the name of the doctor or clinic placing the order.
3
Provide contact person’s information, address, and telephone number.
4
List the number of vaccine doses on hand and those being ordered.
5
Submit the form with the monthly temperature log.
Who needs the Ottawa Public Health Vaccine Order Form Instructions?
1
Healthcare providers ordering vaccines from Ottawa Public Health.
2
Clinics managing vaccine inventories and needing to reorder supplies.
3
Doctors ensuring they have the necessary vaccines for patients.
4
Public health departments tracking vaccine distribution.
5
Medical offices maintaining compliance with vaccine ordering protocols.
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1
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Select the form fields you need to edit.
3
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4
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5
Save and download the completed form.
What are the instructions for submitting this form?
Submit the completed vaccine order form by email to vaccine@ottawa.ca or by fax to 613-580-2783. Ensure that all fields are filled in clearly and attach the monthly temperature log. Allow 7 working days for the processing of your vaccine order. Double-check all the information before submission to avoid any delays.
What are the important dates for this form in 2024 and 2025?
Important dates for the vaccine order form in 2024 and 2025 include the submission deadlines at the end of each month to ensure timely processing of orders.
What is the purpose of this form?
The purpose of this form is to facilitate the accurate and efficient ordering of vaccines by healthcare providers from Ottawa Public Health. By providing detailed information about the vaccines needed, quantities on hand, and order amounts, the form helps in maintaining proper vaccine inventory levels. This ensures that healthcare providers have the necessary vaccines to immunize patients and comply with public health guidelines.
Tell me about this form and its components and fields line-by-line.
- 1. Date: The date the form is being filled out.
- 2. Attention: Indicates the recipient of the form within Ottawa Public Health.
- 3. Doctor/Clinic Name: The name of the doctor or clinic placing the order.
- 4. Contact Person: The name of the person to contact regarding the order.
- 5. Address: The address of the clinic or medical office.
- 6. Telephone: The contact telephone number for follow-up.
- 7. Courier Name: Name of the courier service if using for delivery.
- 8. Self Pick Up: Option to pick up the vaccines personally.
- 9. Vaccines: List of vaccines ordered, doses on hand, and doses being requested.
- 10. Temperature Log: Monthly temperature log to be attached with the form.
What happens if I fail to submit this form?
Failure to submit this form can lead to delays in vaccine supply and inventory shortages.
- Vaccine Shortages: Clinics may run out of vaccines needed for patient immunization.
- Compliance Issues: Failure to comply with public health guidelines for vaccine ordering.
- Operational Delays: Delays in processing vaccine orders can disrupt clinic operations.
How do I know when to use this form?
- 1. Regular Vaccine Orders: For routine ordering of vaccines to maintain inventory.
- 2. New Vaccine Supplies: When new vaccine supplies are needed and current stock is low.
- 3. Restocking Inventory: To restock vaccines that have been administered to patients.
Frequently Asked Question
What is this form used for?
This form is used to order vaccines from Ottawa Public Health.
Can I fill out the form online?
Yes, you can use PrintFriendly's PDF editor to fill out the form online.
How do I submit the filled form?
Submit the form via email to vaccine@ottawa.ca or fax to 613-580-2783.
What details are required in the form?
You need to provide the doctor's name, clinic contact details, vaccines’ doses on hand, and order quantities.
How do I attach the temperature log?
Attach the temperature log as an additional document when submitting the form.
What is the processing time for orders?
Allow 7 working days to process your order after submission.
Can I edit the form after submission?
Edits are not possible after submission. Make sure all information is correct before sending.
Can I sign the form electronically?
Yes, you can add an electronic signature using PrintFriendly's PDF editor.
How do I ensure my form is legible?
Ensure all fields are filled out clearly and correctly before submission.
What should I do if I have questions about the form?
Contact Ottawa Public Health at 613-580-6744 for any questions regarding the form.
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