A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [CLOSE]

Vaccine Return Form

Form 131. Please complete this Vaccine Return Form for any vaccine eligible for return by vaccine providers.

This page has been automatically translated from English. MSDH has not reviewed this translation and is not responsible for any inaccuracies.

Please complete this Vaccine Return Form for any vaccine eligible for return by vaccine providers.

(Amounts entered in this form must match amount of vaccine placed in shipping box for return, and what is being entered into MIIX.)

Last reviewed on Oct 13, 2021
Get COVID-19 e-mail updates daily with our free newsletter: 
Mississippi State Department of Health 570 East Woodrow Wilson Dr Jackson, MS 39216 866-HLTHY4U Contact and information

Facebook Twitter Instagram RSS

Accredited by the national Public Health Accreditation Board