Image of diverse health care providers standing together looking at a notebook being held by the provider in the center of the group.

This resource, developed by the Health Quality Innovation Network, was created to help health care organizations record their staff's COVID-19 vaccine status. 

Last update: November 2021


Intended Audience
QIN-QIO
HQIC
AIANHQI
OPSS

Provided by
Health Quality Innovation Network

Last Updated
July 18, 2023
Attachments
HQIN Staff Vaccine Administration Form_508_11-18-2021.pdf

  • COVID-19 and Infection Control
  • Immunizations