CMS (Centers for Medicare and Medicaid Services) requires a signed consent form for Med D patients.  Here's how to get those signed consents to VaxCare.

Once you've confirmed Med D eligibility and entered the patient's copay credit card information (learn more about that here), take the following steps:

  • Click the printer icon to the left of the patient's name
  • Print and have the patient sign the consent form before vaccine administration
  • Upload the signed consent form(s) HERE

Step 1
Print Consent Form

Step 2
Sign Consent Form


Step 3
Upload Consent Forms or Batch Upload Consent Forms

We recommend you upload the signed consent form (or batch of consent forms) on a daily to weekly basis. Simply scan the signed form(s) into your computer, and upload them from your Vaxcare portal by clicking:

Resources (up top) -> Forms (left hand panel) -> Consent Form Uploader 

Uploading through our portal ensures secure and HIPAA compliant transmission of protected health information (PHI).  We use ShareFile to upload, a third-party HIPAA Compliant solution.  

Log into your portal and click HERE to be directed to our consent form upload page. 

VaxCare will not submit the Med D claim to Medicare until after the signed consent form has been sent to us. If we do not receive the signed consent form after 25 days, VaxCare will charge back to you, as the partner, the cost of the Med D vaccine.

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