Influenza Immunization Informed Consent
SKU
MPSBRG-7123
In stock
MPN | 7123 |
---|---|
Packaging | 1 per each |
Size | 8-1/2In x 11In |
$48.66
Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details
This form
provides patient/resident information regarding influenza and is used to
document consent or declination of the influenza vaccine. It includes
information regarding
Which populations are at a high risk for
complications from influenza
Clinical Influenza symptoms
Possible vaccination side effects
Color: White paper with black ink
Size: 8-1/2" x 11"
Hole Punch: 5 holes on top and side
Printed: 1 side
Quantity: 100 ea/pd
Write Your Own Review