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Influenza Vaccine Usage Reporting Forms for Community Vaccine Providers

For use by Community Vaccine Providers only.

Reporting Due Date

Reporting forms from all vaccine community providers are due by January 12, 2018.

All forms below are provided as PDFs.


South Island

Greater Victoria, Sooke, Saanich, Outer Gulf Islands

Recording forms

Reporting form - reporting due January 12, 2018


Central Island

Duncan, Lake Cowichan, Nanaimo, Parksville, Qualicum Beach, Port Alberni, and Tofino

Recording forms

Reporting form - reporting due January 12, 2018


North Island

Alert Bay, Campbell River, Comox Valley, Gold River, Hornby Island, Port Hardy, Port McNeill, Quadra Island and Woss

Recording forms

Reporting form - reporting due January 12, 2018

 

Page updated: September 13, 2017