Request New Client Form

The request new client form screen is used to display and print a blank Vaccine Administration Form, along with an up-to-date inventory table for a selected provider site. This form may then be filled in with the necessary information for a client who does not currently exist within the system.

Field Name	Description
Site	This field is used to select the site used with the new client form. To select a site, choose one available from the 'Site' pick list. *Note*
Language	This field is used to select the language the new client form will be in. The default language is set to English.

Button

Description

The Generate button will display a blank Vaccine Administration Report which can then be printed. Directions are described below.

Select a provider site from the pick list, whose inventory listings will be populated into the inventory table on the report.
Select the language from the pick list that you would like the report to be in.
Click on the Generate button.
After the system generates the report it will automatically be displayed using the Adobe Acrobat Reader. *Note*

When the Cancel button is clicked, a report will not be generated, and the registry will return to the screen the user was previously on.

In order for the registry to create and maintain a record for a client, school, etc., there is a minimum amount of information necessary that must be provided by a user. These select pieces of information are the Required Fields and are denoted in the registry by the blue information field labels as seen in the example below.

If the computer does not have at least Adobe Acrobat Reader version 4.0 installed on it, then please see the " **REPORT VIEWING REQUIREMENTS** " notification on the New Client Form screen, or contact your administrator.