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HEALTH DEPARTMENTSCHOOL INFLUENZA REGISTRATION FORMALIN INFORMATION:
Last:First:Birth Date:MI:SSN(age 18 & over, for internal use only):Address:City:Telephone: H (_)Cell (State:
_)Zip Code:Work ()School
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How to fill out vaccine information statements vis
How to fill out vaccine information statements vis
01
Start by obtaining the vaccine information statement (VIS) from the healthcare provider administering the vaccine.
02
Read the VIS thoroughly to understand the benefits and risks of the vaccine.
03
Fill out the patient's information section on the VIS, including their name, date of birth, and any allergies or medical conditions.
04
Sign and date the VIS to confirm that you have received and reviewed the information.
05
Keep a copy of the completed VIS for your records.
Who needs vaccine information statements vis?
01
Anyone who is receiving a vaccine should be provided with a vaccine information statement (VIS) to ensure they are informed about the vaccine they are receiving.
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What is vaccine information statements vis?
Vaccine Information Statements (VIS) are information sheets produced by the Centers for Disease Control and Prevention (CDC) that explain the benefits and risks of a vaccine to vaccine recipients.
Who is required to file vaccine information statements vis?
Healthcare providers who administer vaccines are required to provide a copy of the VIS to the vaccine recipient, parent, or legal guardian before administering the vaccine.
How to fill out vaccine information statements vis?
To fill out a VIS, the healthcare provider should include the recipient's name, vaccine name, date of administration, and any relevant medical information.
What is the purpose of vaccine information statements vis?
The purpose of VIS is to ensure that vaccine recipients are informed about the benefits and risks of vaccines before receiving them, helping them make an educated decision about vaccination.
What information must be reported on vaccine information statements vis?
The information reported on VIS includes the vaccine name, date of administration, recipient's name, and any relevant medical information that may impact the vaccine administration.
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