Herpes Zoster/Zoster (Live) Vaccine Informed Consent
SKU
MPSBRG-2125P
In stock
| MPN | 2125P |
|---|---|
| Packaging | 50 per pad |
| Size | 8 In x 11In |
$34.08
Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details
This form provides information for the patient/resident/resident representative regarding the Herpes Zoster/Zoster (Live) Vaccine.
It includes information regarding which populations should receive the vaccine as well as who should not receive the vaccine,
the clinical side effects of the vaccine and provides the link to the CDC s Vaccine Information Statement online.
The form is also used to document consent or declination of the Herpes Zoster/Zoster (Live) Vaccine.
Size: 8 x 11
Prints one side,
black ink
Punches 5-holes top
and side
50 per pad
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