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Get the free Multi Vaccine addendum - Texas Department of State Health Services - dshs state tx

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Texas Department of State Health Services Addendum to Six Vaccines Vaccine Information Statement I agree that the person named below will get the vaccines checked below.
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The multi vaccine addendum is a form that provides additional information about multiple vaccines administered to an individual.
Healthcare providers or administrators who administer multiple vaccines to an individual are required to file the multi vaccine addendum.
The multi vaccine addendum can be filled out by providing the necessary information about each vaccine administered, including the vaccine name, manufacturer, lot number, and administration date.
The purpose of the multi vaccine addendum is to ensure that comprehensive information about multiple vaccines administered to an individual is properly documented and reported.
The multi vaccine addendum requires information such as the vaccine name, manufacturer, lot number, and administration date for each vaccine administered to an individual.
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