Mississippi State Department of Health

Vaccine Wastage and Disposed Form
Form 132. Please complete this Wastage and Disposed form for any vaccine that is wasted and disposed of by vaccine providers.

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Please complete this Wastage and Disposed form for any vaccine that is wasted or disposed by vaccine providers. Every effort should be made to minimize wastage by proper handling, storage and administration.

(Amounts entered in this form must match what is being entered into MIIX.)



Links referenced on this page
What should be disposed of?    http://msdh.ms.gov/msdhsite/index.cfm/14,16871,71,pdf/NonViable_Vaccine_Returns.pdf
Online wastage and disposed form    https://app.smartsheet.com/b/form/1756f84ee404409db4fc2050905fd3e5

Resources referenced
What should be disposed of?    https://msdh.ms.gov/msdhsite/index.cfm/14,16871,71,pdf/NonViable_Vaccine_Returns.pdf ok

Find this page at http://msdh.ms.gov/msdhsite/index.cfm/index.cfm

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