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F R AC T I O N A L (N O N A B L AT I V E) L A S E R C O N S E N T F O R M Patient Name (please print): Date: Medical Director (the Physician): Dr. Paul Prominent Providers Name (the Provider): You

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What is v i s i?

VISI stands for Vaccine Information Statement.

Who is required to file v i s i?

Healthcare providers who administer vaccines are required to provide VISs to their patients.

How to fill out v i s i?

VISs can be filled out by including information about the vaccine being administered, its benefits, risks, and potential side effects.

What is the purpose of v i s i?

The purpose of VISs is to inform vaccine recipients about the benefits and risks of the vaccines they are receiving.

What information must be reported on v i s i?

VISs must include information about the vaccine being administered, its benefits, risks, and potential side effects, as well as details about the healthcare provider administering the vaccine.

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