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Texas Department of State Health Services Addendum to Meningococcal Vaccine Information Statement 1. I agree that the person named below will get the vaccine checked below. 2. I received or was offered
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To fill out DSHS EC-96 Meningococcal VIS, you need to follow these steps:
02
Begin by downloading and printing the form from the official DSHS website.
03
Start by providing the necessary personal information in the designated fields. This includes the patient's full name, date of birth, and contact details.
04
Next, fill in the immunization history section, which requires you to provide details about previous meningococcal vaccinations, including dates and vaccine types.
05
Ensure that you accurately complete the section regarding allergies and medical conditions, as this information is vital for healthcare providers.
06
Review the consent section carefully and sign the form if you agree to the terms and authorize the administration of the vaccine.
07
Once you have filled out the form, make sure to double-check all the information for accuracy and completeness.
08
Finally, submit the completed and signed DSHS EC-96 Meningococcal VIS to the appropriate healthcare provider or vaccination center.

Who needs dshs ec-96 meningococcal vis?

01
The DSHS EC-96 Meningococcal VIS is required for individuals who need to receive the meningococcal vaccine. This includes individuals who are at risk due to their age, certain medical conditions, or other risk factors. Additionally, many schools and colleges may require this form to ensure that students are up-to-date with their meningococcal vaccinations.
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dshs ec-96 meningococcal vis is a form used to report cases of meningococcal disease to the Texas Department of State Health Services.
Healthcare providers, laboratories, and other entities are required to file dshs ec-96 meningococcal vis when they encounter cases of meningococcal disease.
The form should be completed with accurate and detailed information about the meningococcal cases, including patient demographics, symptoms, and laboratory results.
The purpose of dshs ec-96 meningococcal vis is to monitor and track cases of meningococcal disease in order to prevent outbreaks and protect public health.
Information such as patient demographics, symptoms, laboratory results, vaccination history, and contact information must be reported on dshs ec-96 meningococcal vis.
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