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Pfizer BioNTech COVID-19 Vaccine Consent Form PLEASE PRINT LEGIBLY This is my:Legal Name: ___ Lawson ID#___ (St. Bernard's Employees)FIRST DOSESECOND Doses. Bernard's Department or Employer: OF COVID-19
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Read the consent form carefully to understand the information and requirements.
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Fill out personal information accurately including full name, date of birth, and contact information.
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Provide details about any medical conditions or allergies that may impact your eligibility for the vaccine.
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Sign and date the consent form to acknowledge your understanding and agreement to receive the Pfizer-BioNTech COVID vaccine.

Who needs pfizer-biontech covid vaccine consent?

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Individuals who are eligible and planning to receive the Pfizer-BioNTech COVID vaccine need to fill out the vaccine consent form.
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Pfizer-BioNTech COVID vaccine consent is a form that individuals must fill out to give their permission for receiving the Pfizer-BioNTech COVID-19 vaccine.
Individuals who are eligible and choose to receive the Pfizer-BioNTech COVID-19 vaccine are required to fill out the consent form.
To fill out the Pfizer-BioNTech COVID vaccine consent form, individuals must provide their personal information, medical history, and sign the consent statement.
The purpose of the Pfizer-BioNTech COVID vaccine consent form is to ensure that individuals are informed about the vaccine and voluntarily give their consent to receive it.
The Pfizer-BioNTech COVID vaccine consent form requires individuals to report their personal information, medical history, any allergies, and previous vaccinations.
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