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Influenza Immunization Informed Consent

In stock
SKU
MPSBRG-7123
More Information
Brand Sage
MPN 7123
Packaging 1 per each
Size 8-1/2In x 11In
$54.57

This form provides patient/resident 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

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 

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