COVID Provider Data Logger and Outlet Tags Order Form

Order Date * +

Contact Name

Clinic Name

Clinic Mailing address

City

State

Zip Code

Email is required to complete request *

Contact Phone number: *

Currently available items for COVID providers in Colorado. All listed items are provided free of charge, as supplies are available.

Refrigerator/Freezer Tags
"Do Not Unplug" English/Spanish, Heavy card to attach above wall plug.

Quantity-Refrigerator/Freezer Tags *

Breaker Box Warning Stickers

Pink stickers to affix to breaker box, 4"x2"

Quantity-Breaker Box Warning Stickers- *

VFC400 Data Loggers

Please only order what you need.

Quantity- FRIDGE LOGGER *

Quantity- FREEZER LOGGER *

Quantity- ULTRA LOW FREEZER LOGGER *

Acrylic Glycol Bottle Stands for VFC400 Data Loggers

** DO NOT PLACE GLYCOL BOTTLE STANDS DIRECTLY INTO STORAGE UNIT AFTER RECEIPT. PRE-CHILL GLYCOL BOTTLE STANDS IN A UNIT THAT DOES NOT HOLD VACCINE.

Quantity-Acrylic Glycol Bottle Stands (2 maximum) *

LogTag USB Docking Station

ONE docking station per PIN. These are required to download the data from the VFC400 digital data logger.

Quantity-Docking Station (1 maximum) *

REFRIGERATOR- Vaccine Storage Guideline Magnets and Static Clings

The Vaccine Storage Guidelines are available as either magnets or static clings. Static clings will work with glass, stainless steel, wood, painted walls, mirros, cloth, monitors, and aluminum.

** PLEASE BE AWARE WHETHER YOU ARE ORDERING MAGNETS OR STATIC CLINGS.

Quantity-Refrigerator VFC Vaccine Storage Guideline Magnets *

Quantity-Refrigerator Vaccine Storage Guideline Static Clings *

FREEZER-Vaccine Storage Guideline Magnets and Static Clings

The Vaccine Storage Guidelines are available as either magnets or static clings. Static clings will work with glass, stainless steel, wood, painted walls, mirros, cloth, monitors, and aluminum.

** PLEASE BE AWARE WHETHER YOU ARE ORDERING MAGNETS OR STATIC CLINGS.

Quantity-Freezer Vaccine Storage Guideline Magnets *

Quantity-Freezer Vaccine Storage Guideline Static Clings *

Temperature Monitoring Logs and other forms are available to download and print here: https://drive.google.com/drive/folders/1fPLRViVeZHmDqzD_3iTzMtkBHoVWQ7w5?usp=sharing