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Community Offsite Vaccine Administration Record (VAR) Informed Consent for Vaccination* If the patient is requesting a flu vaccination, indicate the patients age group:OFFSITE CLINIC BILLING GROUP:Store
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Store number 5961 is a unique identifier assigned to a specific retail location or store.
The store manager or authorized personnel are required to file store number 5961.
Store number 5961 should be filled out with accurate information about the store, including sales data, inventory levels, and any other relevant details.
The purpose of store number 5961 is to track performance, monitor inventory, and facilitate reporting for the specific retail location.
Information such as sales figures, inventory levels, employee count, operational expenses, and any relevant data related to the store must be reported on store number 5961.
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