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Animal Documentation. a) Animal is a__ Dog__ Cat) Animal has received all shots required up to today's date__ Yes__ NOC) Sex of Animal is__ Male__ Females) Breed & Color of animal___ e) Weight & Age
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How to fill out vaccine clinic check-in questionnaire
01
Begin by reading and providing accurate personal information such as name, date of birth, address, and contact number.
02
Answer questions regarding your health history, any existing medical conditions, and current medications you are taking.
03
Specify whether you have experienced any COVID-19 symptoms in the past 14 days.
04
Provide information about your recent travel history, especially if you have visited any high-risk locations.
05
Sign and date the questionnaire to confirm that all answers provided are truthful and complete.
Who needs vaccine clinic check-in questionnaire?
01
Individuals who are scheduled to receive a COVID-19 vaccine at a designated clinic or vaccination center.
02
Individuals who are required to undergo screening and provide relevant health information before getting vaccinated.
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