How to Become a Yellow Fever Vaccine Provider in North Carolina

Thank you for your interest in becoming a Yellow Fever vaccine provider. Your willingness to support the North Carolina Department of Health and Human Services' goals of Yellow Fever readiness is greatly appreciated.

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Steps to Become a Yellow Fever Vaccine Provider

  • 1

    Review the policy and program requirements

    Physicians, physician’s assistants, nurse practitioners, or pharmacists currently licensed in North Carolina can apply with the North Carolina Immunization Program (NCIP) to obtain a yellow fever uniform stamp and become a designated yellow fever vaccination center (YFVC). 

    The certified uniform stamp holder has the authority to order yellow fever vaccine and administer it to the public. 

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    The uniform stamp is only to be used by the certified uniform stamp holder and is not to be shared with others. If the uniform stamp holder leaves the designated facility, the uniform stamp may not be retained by the facility. Designation status is not transferable from person to person, or site to site. Each yellow fever vaccine facility must be under the jurisdiction of an approved stamp holder. Providers can use the Designation Form to list additional facilities where a designated provider intends to administer the vaccine.

    Sanofi Pasteur will only ship yellow fever vaccine to a designated facility associated with an active uniform stamp holder. NCIP directly notifies Sanofi Pasteur when facilities are approved and have been listed on the CDC’s facility locator site; the vaccine will be shipped only to those sites.

    A uniform stamp must be purchased from Raleigh Rubber Stamp to validate international certificates of vaccination against yellow fever. A stamp number will be provided once the provider has been approved. Stamps no longer include an expiration date and need to be replaced only if worn or lost; however, recertification is still required every three years.

    The NCIP maintains authority over the uniform stamp and can revoke the stamp and privileges at its discretion.

    Certified uniform stamp holders are required to maintain a log of vaccine recipients (including any adverse events or previous yellow fever vaccination) as well as temperature logs for the yellow fever vaccine storage units (PDF). Temperatures must be recorded once a day. Temperature logs may be requested for review by the NCIP. Failure to provide this documentation upon request may result in cancellation of certification.

    The CDC and NCIP share responsibility for overseeing the activities of designated YFVCs. In accordance with NCIP and CDC policy, NCIP representatives may visit sites for the purposes of assessment and audit. These site visits are to review compliance with the state health department’s policies for designated YFVCs.

    A certified yellow fever uniform stamp holder agrees to the following NCIP requirements:

    • Complete the CDC continuing education webinar Yellow Fever Vaccine: Information for HealthCare Professionals Advising Travelers, prior to submitting an application or recertification. This requirement is for applicant and any staff who will advise travelers on the vaccine on behalf of the practitioner.
    • Agree to immediately notify the NCIP if the practitioner assigned to the stamp is no longer practicing at the approved facility.
    • Report immediately the loss or theft of the uniform stamp to:
    • Provide clients with International Certificate of Vaccination or Prophylaxis (ICVP) Yellow Fever Cards to people who receive the vaccine.
    • Agree to provide the Vaccine Information Statement (VIS) for yellow fever to each client prior to receiving the yellow fever vaccine.
    • Report adverse events to the Vaccine Adverse Event Reporting System (VAERS). Get more information on VAERS online or call 1-800-822-7967.
    • Serve the public (unless the site is a student health or employee health center) and administer yellow fever vaccine only at an official North Carolina Yellow Fever Vaccination Center. The stamp is not to be used by others. Notify the NCIP help desk of any changes to the original application including an address change, to add additional locations administering yellow fever vaccine, or if you are no longer providing the immunization service.
    • In the event a designated clinic closes, archive patient records according to the NC Medical Board.
    • When applying or certifying, provide the NCIP an estimate of vaccine doses to be administered during the current year.
    • Ensure designation status is not transferable from person to person, or site to site. Newly registered medical practitioners of a clinic will be required to submit a new stamp application. Designated providers who move to a new site must reapply for designation of the new site which will include the submission of a new application.
    • Conform to acceptable standards, according to the vaccine prescribing information, CDC’s Advisory Committee on Immunization Practices (ACIP) and ensure required storage and handling practices as noted in General Best Practice Guidelines for Immunizations.
    • When completing a medical waiver for YF vaccine, ensure the medical contraindications to vaccination section of the (ICVP) is completed and signed. Inform traveler most medical waivers are honored by the receiving country however, entry cannot be guaranteed. Encourage traveler to contact the country’s embassy or consulate in the United States for more information or guidance.
    • Certification expires in three years, on the last day of the month. A North Carolina Yellow Fever Vaccination Center must recertify every three years to continue receiving vaccine.
    • The stamp can be used to validate cholera vaccination.
  • 2

    Complete Yellow Fever Training

    Access the CDC Yellow Fever training

    Upon completion, download your certificate of completion. You'll include it with your application/recertification materials.

    Learn more about the training.

  • 3

    Complete the required documents

    To become a designated yellow fever uniform stamp holder and designated YFVC:

    To recertify:

  • 4
  • 5

    Wait for approval

    Upon Yellow Fever stamp approval, you'll get two emails:

    • A welcome email from NCIP with resources
    • An email authorizing stamp order approval with stamp number
  • 6
  • 7

    Order Yellow Fever vaccines

    If you don't have an existing account with Sanofi, more paperwork may be required.

Report immediately the loss or theft of the uniform stamp to:

North Carolina Immunization Program
Phone: 1-877-873-6247
Email: ncirhelp@dhhs.nc.gov
Fax: 1-800-544-3058