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HBV Vaccine Consent/Declination Form

SKU
MPSBRG-2115R
In stock
More Information
MPN 2115R
Packaging 1 per each
Size 8 1/2In x 11In
$47.10

    Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details

    This form offers reliable proof that the HBV vaccine was offered to your employee by requiring a signature to verify his/her CONSENT or REFUSAL.

    The back side allows you to record vaccinations actually administered.

        8 1/2" x 11",
        White paper, black ink
        Padded in 100s.
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