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Kentucky Vaccine Accountability Section Forms

For questions about Vaccine Accountability Section forms, please call (502) 564-4478 and dial extension 3734 for Clarissa Wilson or extension 3914 for Rita Lathrem.

VAS Forms

Private Provider and Health Department Forms

Hospital Forms

If your PIN begins with 100 or 200 use the following forms:

All Providers

The following forms are for all providers:

Return and Adjustment Forms


 

 

Last Updated 10/24/2014
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