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DocuSign Envelope ID: 12159B7E2CBD4F96BDECAA409FE08830Collaborative Agreement for PharmacistAdministered Vaccines This Collaborative Agreement (Agreement) is made effective as January 1, 2022 (Effective
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How to fill out for pharmacist-administered vaccines

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How to fill out for pharmacist-administered vaccines

01
Ensure you have a prescription or a doctor's order for the vaccine you will be administering.
02
Verify the patient's identity and medical history to ensure they are eligible to receive the vaccine.
03
Prepare the vaccine according to the manufacturer's instructions.
04
Administer the vaccine via the appropriate route (e.g. intramuscular or subcutaneous injection).
05
Document the administration of the vaccine in the patient's medical record and provide them with any necessary follow-up instructions.

Who needs for pharmacist-administered vaccines?

01
Individuals who are in need of a vaccination but are unable to see a doctor for administration.
02
Individuals who prefer the convenience of getting vaccinated at a pharmacy location.
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Pharmacist-administered vaccines are vaccines that are administered by pharmacists.
Pharmacists who administer vaccines are required to file for pharmacist-administered vaccines.
Pharmacist can fill out the necessary forms for pharmacist-administered vaccines as per the guidelines provided by the relevant authorities.
The purpose of pharmacist-administered vaccines is to provide access to vaccines in a convenient and accessible manner through pharmacists.
Information such as the type of vaccine administered, the patient's details, and the date of administration must be reported on for pharmacist-administered vaccines.
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