URMC / Emergency Preparedness Coalition / Preparedness and Response Tools/Resources / COVID-19 POD/Vaccinator Resources and Training / CDC & NYS COVID-19 Vaccination Forms, Documents, Checklists CDC & NYS COVID-19 Vaccination Forms, Documents, Checklists NYS COVID-19 Vaccination Handbook NYS COVID-19 Vaccination Program Handbook (10/16/2020) Provider Enrollment and Support NYC DOHMH COVID-19 Vaccination Enrollment Letter NYS COVID-19 Vaccine Provider Profile Addendum CDC COVID-19 Vaccination Program Provider Agreement CDC Supplemental COVID-19 Vaccine Redistribution Agreement Guidance on COVID19 Screening Checklist Ordering COVID-19 vaccine in the New York State Immunization Information System Vaccine hospital ordering letter COVID-19 Vaccination Clinic Forms and Resources NYS Pre-Screening Vaccine Form NYS Am I Eligible (link) NYS COVID-19 Vaccination Form Screening Checklist for the COVID-19 Vaccine NYSDOH COVID-19 Vaccine Tracker V-Safe (CDC's after vaccination Health Checker) Immunization Screening and Consent Form (optional) Moderna and Pfizer guidance and forms Moderna standing order Pfizer standing order