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CMS Delivery Details
This information will be shared with EHA so that they can begin deliveries of Pfizer-EHA DMPA-SC stock to your CMS.
Select your state
*
CMS Official Contact informationđź“ž
This information is needed in case EHA ever needs to contact the CMS directly. They will also be given each SPM's email and phone number and instructed to
always contact the SPM first
.
Name of relevant CMS Official
*
Job title
*
Phone number
*
Email
This is optional
Location informationđź“Ť
This information will help EHA's delivery personnel find the specific delivery point. Delivery personnel might change with each distribution.
Name of the location
*
Address
*
Plus Code from Google Maps
*
Plus Codes
are like street addresses for people or places that don’t have one. Instead of addresses with street names and numbers, Plus Codes are based on latitude and longitude, and displayed as numbers and letters.
Here’s an example of a Plus Code:
JJXX+HR8, Seattle
.
Watch
this short video
to learn how to get a Plus Code form the Google Maps app.
The Plus Code will be a very accurate and quick way to find the exact place to deliver doses.
Submit
