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Application Form for Human Papillomavirus Vaccine (HPV) Demonstration ProgrammeDeadlines for submission of application: 15 January 2016 1 May 2016 9 September 2016Submitted by: The Government of [INDONESIA]
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How to fill out vaccine information statementhpvvis

01
Obtain the HPV Vaccine Information Statement (VIS) from a reliable source, such as the CDC website or your healthcare provider.
02
Ensure you are using the latest version of the HPV VIS as it is updated periodically.
03
Read through the VIS carefully to understand the information regarding the vaccine, including benefits, risks, and potential side effects.
04
Fill in the patient's details, such as name and date of birth, at the top of the VIS form.
05
Include the date of the vaccination and the name of the vaccine being administered.
06
Provide a brief explanation of the vaccine's purpose and importance based on the VIS content.
07
Sign and date the form to acknowledge that the patient or guardian has received the information provided.
08
Provide a copy of the VIS to the patient or guardian for their records.

Who needs vaccine information statementhpvvis?

01
Individuals receiving the HPV vaccine, especially adolescents aged 11-12 years.
02
Parents or guardians of minors who are getting the vaccine.
03
Healthcare providers administering the vaccine.
04
Clinics and hospitals that offer vaccination services.
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The Vaccine Information Statement (VIS) for the HPV vaccine provides information about the vaccine, including its benefits, potential side effects, and the importance of vaccination.
Healthcare providers who administer the HPV vaccine are required to provide and file the Vaccine Information Statement.
The HPV VIS should be filled out by providing the patient's details, the date of vaccination, and ensuring that the patient or their guardian acknowledges receipt of the information.
The purpose of the HPV VIS is to inform patients and guardians about the vaccine, enhancing informed consent and promoting vaccination.
The HPV VIS must report details including the name of the vaccine, manufacturer, lot number, administration date, and information related to possible side effects and benefits.
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