I ordered dispensers of various types, got it shipped really fast... a happy customer.
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| Brand | Sage |
|---|---|
| MPN | 7123S |
| Packaging | 1 per each |
| Size | 8-1/2In x 11In |
This form provides employees information regarding influenza and
is used to document consent or declination of the influenza vaccine. It
includes information regarding
Which populations are at a high risk
for complications from influenza
Clinical Influenza symptoms
Possible vaccination side effects
The Vaccine Information Statement (VIS) as allows providers to
designate the type of vaccine administered: standard trivalent, high dose
trivalent or quadrivalent.
Color: White paper with black ink
Size: 8-1/2" x 11"
Hole Punch: 5 holes on top and side
Printed: 1 side
Quantity: 100 ea/pd
