Information for Local Health Departments

Local Health Department Contractor Information

  • 2018 TVFC and ASN Operations Manual (Rev. 05/2018)
    The purpose of the TVFC/ASN Operations Manual for Responsible Entities is to consolidate TVFC/ASN policies and information into one source document for DSHS PHRs and contracted LHD staff. The contents are intended only for those entities and not for clinics or facilities enrolled in the TVFC/ASN Programs. Throughout the year, the DSHS Immunization Unit will distribute new policies via official memorandums.

FY2018 Documents and Tools

The following resources are for use from September 1, 2017 through August 31, 2018.

  • FY2018 Contractor's Guide (PDF) (Rev. 11/2017)
    This manual is intended as a resource to contracted LHDs in implementing required activities under the immunization contract and will also describe contract monitoring activities that will be conducted during the contract period.
  • FY2018 Quarterly Report (SurveyGizmo)
    Please only use this latest version of the Quarterly Report, rather than the older Excel versions.
  • FY2018 Work Plan (PDF) (1/2017)
    The work plan contains required activities for contracted local health departments.
  • FY2018 SOW (PDF) (12/2016)
    This document includes performance measures, reports due, schedule, billing instructions, and special provisions that are an essential part of the contract.
  • FY2018 On-Site Evaluation Report Form (PDF) (rev. 01/2018) 
    The On-Site Evaluation Report is the tool all reviewers will use to evaluate each standard and activity required by the Work Plan for the current year. Local Health Departments may find it helpful to use this form as a self-assessment tool to prepare for site reviews.
  • FY2018 On-Site Evaluation Report Instructions (PDF) (rev. 01/2018)
    This document provides instructions on how to fill out the evaluation report.

2018 Annual TVFC Training Presentations

The following presentations and resources were presented at the 2018 Annual TVFC Training that took place on January 17-18, 2018 in Austin, TX.

FY2017 Contract Documents

The following documents are for use from September 1, 2016 through August 31, 2017.

  • FY2017 Contractor's Guide (PDF) (rev. 11/2016)
    This manual is intended as a resource to contracted LHDs in implementing required activities under the immunization contract and will also describe contract monitoring activities that will be conducted during the contract period.
  • FY2017 Work Plan (PDF) (rev. 04/2016) 
    The work plan contains all the required activities for contracted local health departments.
  • FY2017 Statement of Work (PDF) (rev. 04/2016) 
    This document includes performance measures, reports due, schedule, billing instructions, and special provisions that are an essential part of the contract.
  • FY2017 Quarterly Report Form (XLS) (rev. 10/2016) 
    Please download and use the most current version of the Quarterly Report Form. Delete older versions of this form previously saved. Outdated versions of the report form will be returned for correction.
  • FY2017 On-Site Evaluation Report Form (DOC) (rev. 09/2016) 
    The On-Site Evaluation Report is the tool all reviewers will use to evaluate each standard and activity required by the Work Plan for the current year. Local Health Departments may find it helpful to use this form as a self-assessment tool to prepare for site reviews.
  • FY2017 On-Site Evaluation Report Instructions (DOC) (rev. 09/2016)
    This document provides instructions on how to fill out the evaluation report.

FY2016 Contract Documents

The following documents are for use from September 1, 2015 through August 31, 2016.

Last updated May 3, 2018