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? Eastern ? Central ? Western ? Lab/Green H1N1 Pandemic Influenza Vaccine Consent and Record of Immunization MCP Last Name DOB Address Telephone First Name Postal Code (h) (w) Check the Correct Box
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What is consent h1n1 finaloct16 2doc?
The consent h1n1 finaloct16 2doc is a document required to be filled out by individuals who are giving their consent for the H1N1 vaccination.
Who is required to file consent h1n1 finaloct16 2doc?
Individuals who are eligible for the H1N1 vaccination and are giving their consent must file the consent h1n1 finaloct16 2doc.
How to fill out consent h1n1 finaloct16 2doc?
To fill out the consent h1n1 finaloct16 2doc, one must provide their personal information, sign the document, and indicate their consent for the vaccination.
What is the purpose of consent h1n1 finaloct16 2doc?
The purpose of the consent h1n1 finaloct16 2doc is to ensure that individuals are giving their informed consent for the H1N1 vaccination.
What information must be reported on consent h1n1 finaloct16 2doc?
The consent h1n1 finaloct16 2doc must include the individual's name, date of birth, contact information, and signature indicating their consent for the vaccination.
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