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(Internal/Off Site Clinic Information)VACCINE CONSENT FORM First Name: Home Phone: () Home Address:MI:Phone/Fax Date: / / Mph/Tech Name: Phone/Fax Time: AM/Registry Date: / / Last Name:Date of Birth:
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Phonefax date is a specific date used for reporting phone and fax activity.
Businesses and individuals who use phones and fax machines for communication are required to file phonefax date.
Phonefax date can be filled out by providing information about the number of phone calls made/received and faxes sent/received.
The purpose of phonefax date is to track communication activity through phones and fax machines.
The information that must be reported on phonefax date includes the number of phone calls made/received and faxes sent/received.
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