San Francisco Department of Public Health
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All staff handling vaccines at this clinic are responsible for ensuring that the components of proper vaccine
management outlined in this guide are practiced. This guide must be reviewed and updated annually by
vaccine coordinator.
Clinic Name: ___________________BBBBBBBBBBBB
Emergency Storage Location
It is the direct responsibility of designated staff to ensure all emergency vaccine handling procedures are
followed. In an emergency, an alternative vaccine storage facility and on location staff members should be
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Name and Location of FacilityV
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Emergency Location Contact:
Phone #:
Cell #:
Secondary Contact:
Phone #: Cell #:
Third Contact:
Phone #: Cell #:
Refrigerator/Freezer Repair Information
Company Name: ________________________________________________________________
Contact Information: _____________________________________________________________
2018-2019 SFDPH Vaccine Management Plan
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