Become a COVID-19 Vaccine Provider
COVID-19 vaccination providers will enroll in the CDC COVID-19 Vaccination Program administered by the Alaska Immunization Program, a program within the Alaska Department of Health and Social Services.
On this page:
- How to enroll
- What to expect after enrollment
- Training
- Stay informed
- Questions
- Resources you can use
How to enroll
As an enrolled provider, your facility will be eligible to order COVID-19 vaccine through the Alaska Immunization Program and administer COVID-19 vaccine.
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Enrollment Introductions (PDF)
Review this document first to learn about the required agreements. -
Follow the Step-by-Step Enrollment Guide (PDF)
The step by step guide is a guide to help you review and monitor all steps involved in the enrollment process. -
Tips for completing the CDC COVID-19 Vaccination Program Provider Agreement (PDF)
The provider agreement tips document will assist in clarification of format, responses, and workflow for multiple locations; have it readily available when filling out the CDC COVID-19 Vaccination Program Provider Agreement. -
CDC COVID-19 Vaccination Program Provider Agreement (PDF)
After reviewing the above links, use this link to begin the CDC COVID-19 Vaccination Program Provider Agreement. Adobe Acrobat Reader must be used. Please save to desktop then complete and submit through Adobe Acrobat Reader.
What to expect after enrollment
After program enrollment and training are complete, providers will be notified when they are able to order vaccine through VacTrAK. Once vaccine orders are placed, vaccine will be shipped along with the following supplies:
- Needles (various sizes for the population served by the ordering vaccination provider)
- Syringes
- Alcohol prep pads
- Surgical masks and face shields for vaccinators
- COVID-19 vaccination record cards for vaccine recipients
- Needle information card
- V-safe (PDF) and VAERS flyers
- EUA Fact Sheets
Training
Each facility Vaccine Coordinator and Back-up Vaccine Coordinator is required to complete the required training and return the training attestation form to covid19vaccine@alaska.gov. If your facility has any staff changes in these roles, please email vactrak@alaska.gov for assistance.
All staff who receive, handle, manage, prepare or administer vaccine must be fully trained on COVID-19 Vaccination Program requirements and the specific storage, handling, preparation and administration requirements for each COVID-19 vaccine as applicable to the individual's role. Providers should internally track, maintain documentation, and monitor status of the training received by vaccination staff to ensure the training requirement is met.
- Training Attestation Form (PDF)
- CDC COVID-19 Vaccine Training Module
- CDC You Call the Shots: Understanding the Basics
- CDC You Call the Shots: Vaccine Storage and Handling
Stay informed
The CDC COVID-19 Vaccination Program Provider Agreement expressly incorporates all recommendations, requirements, and other guidance that the agreement specifically identifies. Organizations must monitor such identified guidance for updates. Organizations must comply with such updates. Updates will be posted on the following webpages:
- CDC Covid-19 Vaccine Information (CDC)
- ACIP Vaccine Recommendations and Resources (CDC)
- Immunization Information Systems (CDC)
- Pfizer-BioNTech COVID-19 Vaccine Resources
- Find more information on the resources page
Questions?
Review these COVID-19 Vaccination Program Frequently Asked Questions (PDF). If you don't see the answer, please contact us.
Medical providers may direct medical questions to covid19vaccine@alaska.gov or 833-751-4212.