My Cart
You have no items in your shopping cart.
Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details
Brand | Sage |
---|---|
MPN | 2124P |
Packaging | 1 per each |
Size | 8.5In x 11In |
This form provides information for the patient/resident/resident representative regarding the Tetanus/Diphtheria (also known as Td) 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 Tetanus/Diphtheria (Td) vaccine. |