The 2024-2025 Influenza Provider Application streamlines the enrollment process for health care providers seeking to offer influenza vaccinations. The application will collect facility information, myCAvax account status, initial requests for influenza vaccines, provider details (i.e. provider of record, licensing information, etc.), delivery preferences, storage and handling specifications, and San Bernardino County Agreements on Use of California Department of Public Health purchased influenza vaccines.

Please note, questions may differ based on past participation in the program.