Promoting and protecting the health and safety of all Idahoans

Stage 1 Forms and Instructions

MU stage 1 – For MU stage 1 Immunizations we will need the following information for each location. (Stage 1 is by site location not provider)

  1. Location Name
  2. Location Address
  3. Location City
  4. Location State
  5. Location Zip
  6. Contact Name
  7. E.H.R. product name
  8. E.H.R product version
  9. HL7 file to review

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