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COVID-19/Flu Consent Form Athens CityCounty Health Department
278 W. Union St., Athens, OH 45701Last Salesperson Receiving Vaccine Demographic InformaonDate of Birthright NameMiddle InialAgeGenderParent/Guardian
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How to fill out covid-19flu consent form person
How to fill out covid-19flu consent form person
01
Fill out personal information such as name, date of birth, and contact information.
02
Answer the health questions accurately and truthfully.
03
Sign and date the form to indicate your consent.
Who needs covid-19flu consent form person?
01
Any individual who is required to undergo a covid-19 or flu test or vaccination may need to fill out a covid-19/flu consent form.
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What is covid-19flu consent form person?
The covid-19flu consent form is a document that gives an individual permission to receive the covid-19flu vaccine.
Who is required to file covid-19flu consent form person?
Anyone who wishes to receive the covid-19flu vaccine must file a covid-19flu consent form.
How to fill out covid-19flu consent form person?
To fill out the covid-19flu consent form, the individual must provide their personal information and signature indicating their consent to receive the covid-19flu vaccine.
What is the purpose of covid-19flu consent form person?
The purpose of the covid-19flu consent form is to ensure that individuals understand the risks and benefits of the covid-19flu vaccine and provide informed consent to receive it.
What information must be reported on covid-19flu consent form person?
The covid-19flu consent form must include the individual's name, date of birth, contact information, medical history, and signature indicating consent.
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