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Get and Sign Texas Vaccines for Children TVFC 2019 Form
In Medicaid or Medicaid-eligible UNinsured American Indian / Alaska Native UNDERinsured FQHC/RHC or deputized PHC/LHD ONLY 1 Total FEDERAL VFC TVFC Eligibility Categories UNDERinsured private facilities or non-deputized PHC/LHD 1 Children s Health Insurance Program CHIP 2 Total TEXAS VFC TVFC Insured Patients INSURED health insurance covers vaccines for vaccines that are not covered by private health insurance. Document in the following tables how many VFC TVFC insured and ASN if applicable...
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