VFC Program Enrollment Process:

1. Fill out and fax an Enrollment Request form to VFC's Toll-free number (877) 329-9832. Please allow 5 business days for the processing of your request.
   
   
2. The VFC Office will send you an Enrollment Packet. Please review, complete, and sign the enclosed forms. The Provider Enrollment Form must be signed by the physician-in chief or the clinic's medical director. Organizations with multiple facilities must complete enrollment forms for each of their sites. Then, mail forms to:
   
   California Vaccines for Children (VFC) Program
   Attn: New Enrollments
   850 Marina Bay Parkway, Building P, Second Floor Richmond, CA 94804
   
   
3. Within 2 weeks of the receipt of your forms, you will be contacted by your local VFC Representative to arrange a New Provider Enrollment site visit and approve your facility for enrollment in our program.
   
   
4. Once your site is approved, you will receive a “VFC Welcome Packet” which will include your new VFC Provider Identification Number (PIN). You will need this number for all interactions with the VFC Program. Once your new PIN number is assigned, VFC will process your first vaccine order.
   

Provider Enrollment
A three page form for submitting contact information and agreeing
to the conditions of the program.

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