Pharmacy Support Tools

For vaccine-specific resources and templates, please visit the associated product pages


Vaccination Basics

Tools to help you run your pharmacy vaccination program

Patient notification

Patient Notification Letter
A form to remind patients of the vaccines they received, which also informs them that their health care provider will be notified about the vaccinations.

Physician notification

Physician Notification Letter
A fax form to let health care providers know when you have vaccinated their patients.
Prescription Request for Vaccine
A form to request a prescription to vaccinate a patient in your pharmacy.
Pharma Help Notifications Vaccination Services
A form you can use to let health care providers know about your year-round adult vaccination services.

In-pharmacy tools

E-Prescribe Kit
A kit with resources to help market pharmacy vaccination services and educate consumers on the eprescription process.
Good Vaccination Practices
A poster for pharmacists that highlights some general vaccine administration guidelines.
Vaccination Sign-up Sheet
A sample sign-up sheet you can use to help facilitate vaccination in your pharmacy.
Vaccine Inventory Control Log
A chart to help you keep track of which vaccines you have in stock.
Checklist for Proper Vaccine Handling & Storage
A detailed list of important practices related to vaccine handling and storage.
Vaccine Temperature Log – Fridge
A form to record the daily temperatures of your vaccines in the morning and evening.
Vaccine Temperature Log – Freezer
A form to record the daily temperatures of your vaccines in the morning and evening.
Vaccine Storage Troubleshooting Record
A form to help you keep accurate records of any vaccine storage problems in your pharmacy and how they were fixed.
Vaccine Storage Equipment Failure Worksheet
A form to help you collect information prior to contacting your health department or vaccine manufacturers.
Vaccine Adverse Event Reporting System (VAERS)
Report an Adverse Event using the VAERS online form or the downloadable PDF.
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Vaccine Adverse Event Reporting System (VAERS)

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US-NON-03630 03/20