
Get the free Vaccine Information Statements (VIS)Immunizations
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FLU VACCINE CONSENT
Upper Missouri District Health UnitVaccine Information Statements can be viewed at www.immunize.org/vis
Serving Divide, McKenzie, Mount rail and Williams CountiesPLEASE PRINT
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How to fill out vaccine information statements visimmunizations

How to fill out vaccine information statements visimmunizations
01
Obtain the vaccine information statements (VIS) from your healthcare provider or the Centers for Disease Control and Prevention (CDC) website.
02
Read the VIS carefully to ensure you understand the information provided.
03
Complete the patient's name, date of birth, and vaccination date on the VIS form.
04
Document the vaccine manufacturer's name and lot number on the VIS.
05
Provide a copy of the completed VIS to the patient or their caregiver for their records.
Who needs vaccine information statements visimmunizations?
01
Anyone receiving a vaccination should be provided with a vaccine information statement (VIS) to help them understand the benefits and risks associated with the vaccine.
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What is vaccine information statements visimmunizations?
Vaccine information statements (VIS) are information sheets produced by the Centers for Disease Control and Prevention (CDC) that explain both the benefits and risks of a vaccine to vaccine recipients.
Who is required to file vaccine information statements visimmunizations?
Healthcare providers are required to provide vaccine information statements (VIS) to patients or their parents/guardians before administering vaccines.
How to fill out vaccine information statements visimmunizations?
Vaccine information statements (VIS) can be filled out by healthcare providers by reviewing the information provided on the CDC website and printing out the appropriate VIS for each vaccine being administered.
What is the purpose of vaccine information statements visimmunizations?
The purpose of vaccine information statements (VIS) is to ensure that vaccine recipients are informed about the benefits and risks of the vaccines they are receiving, allowing them to make an informed decision about vaccination.
What information must be reported on vaccine information statements visimmunizations?
Vaccine information statements (VIS) must include information about the vaccine, its benefits and risks, how the vaccine is administered, and what to do in case of an adverse reaction.
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