I ordered dispensers of various types, got it shipped really fast... a happy customer.
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| Brand | Sage |
|---|---|
| MPN | 2125P |
| Packaging | 50 per pad |
| Size | 8 In x 11In |
This form provides information for the patient/resident/resident representative regarding the Herpes Zoster/Zoster (Live) Vaccine.
It includes information regarding which populations should receive the vaccine as well as who should not receive the vaccine,
the clinical side effects of the vaccine and provides the link to the CDC s Vaccine Information Statement online.
The form is also used to document consent or declination of the Herpes Zoster/Zoster (Live) Vaccine.
Size: 8 x 11
Prints one side,
black ink
Punches 5-holes top
and side
50 per pad
