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Commonwealth Healthcare Corporation Commonwealth of the Northern Mariana Islands 1 Lower Navy Hill Road Navy Hill, Sampan, MP 96950CONSENT FOR IMMUNIZATION OF MINOR I confirm that I have read the
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Start by opening the covid-19-vaccination-parental-consentupdated430doc document.
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Read the instructions and information provided at the beginning of the document.
03
Fill out the personal information section of the form, including the name, date of birth, and contact information of the parent/guardian.
04
Provide the name and date of birth of the minor child who requires parental consent for the COVID-19 vaccination.
05
Review the consent statement and make sure you understand its implications.
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Sign and date the consent form to indicate your agreement and understanding.
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The covid-19-vaccination-parental-consentupdated430doc is needed by parents or legal guardians of minor children who require parental consent for receiving the COVID-19 vaccination.
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The covid-19-vaccination-parental-consentupdated430doc is a legal document that provides parental consent for minors to receive the COVID-19 vaccine.
Parents or legal guardians of minors who wish to have their children vaccinated against COVID-19 are required to file this document.
To fill out the document, parents should provide their personal information, the child's information, details about the vaccination, and sign it to indicate their consent.
The purpose of the document is to ensure that parents or guardians give their legal consent for a minor to receive the COVID-19 vaccine, protecting healthcare providers from liability.
The document must include the parent or guardian's name, contact information, child's name and date of birth, vaccination dates, and a signature.
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