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BROWARD COMMUNITY & FAMILY HEALTH CENTERS, INC. COVID-19 VACCINE SCREENING AND CONSENT FORM Moderna COVID-19 Vaccine Section 1: INFORMATION ABOUT YOU (PLEASE PRINT) Last NameMonthDATE OF BIRTH DAYYEARFirst
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How to fill out covid-19 vaccinations

01
Find a vaccination center or clinic that is administering covid-19 vaccinations.
02
Confirm the eligibility criteria to receive the vaccine in your region.
03
Schedule an appointment if required or visit during designated walk-in hours.
04
Carry necessary identification documents like ID proof, health insurance card, etc.
05
Follow any pre-vaccination guidelines provided by the healthcare provider.
06
Fill out the necessary forms provided at the vaccination center.
07
Provide accurate information about your personal details, medical history, and any existing health conditions.
08
Answer any additional questions asked by the healthcare professional.
09
Receive the vaccination as per the prescribed dosage and administration method.
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Wait in the observation area for the suggested amount of time to monitor for any immediate adverse reactions.
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Collect the vaccination certificate or any other relevant documents before leaving the center.

Who needs covid-19 vaccinations?

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COVID-19 vaccinations are recommended for almost everyone, with few exceptions.
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Specific priority groups, such as healthcare workers, frontline workers, elderly individuals, individuals with underlying health conditions, and people at higher risk of exposure or complications, are given priority for vaccination.
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However, it is crucial to follow the guidelines and eligibility criteria set by local health authorities or governments for the accurate information on who needs the covid-19 vaccinations in a particular region.
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Covid-19 vaccinations are vaccines designed to provide immunity against the coronavirus disease 2019 (COVID-19), which is caused by the SARS-CoV-2 virus.
Individuals who have received Covid-19 vaccinations are required to report their vaccination status to the appropriate authorities or organizations as per the guidelines in their region.
Individuals can fill out the covid-19 vaccinations form provided by their healthcare provider, employer, or government agency. They must provide accurate information about their vaccination status and any relevant details as requested.
The purpose of covid-19 vaccinations is to help prevent the spread of the virus, reduce the severity of illness, and protect individuals and communities from the effects of COVID-19.
Information that must be reported on covid-19 vaccinations includes the individual's name, date of birth, vaccination dates, type of vaccine received, and any adverse reactions experienced.
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