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Vaccine Administration Record (VAR)Informed Consent for Vaccination SECTION A Please print clearly. First name:Last name:Date of birth:Age:Gender:MaleFemale Phone:Home address: State:City: ZIP code:Heart
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Section A usually refers to the personal information section on a form.
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The purpose of section A is to gather necessary information about the individuals or entities mentioned on the form.
What information must be reported on section a please print?
Information such as name, address, contact details, and other personal details may be required to be reported on section A.
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