COVID-19 Vaccine Informed Consent (General)
Available Now! Updated for the 2024-2025 COVID-19 Vaccines for Fall/Winter Virus Season
Use this form to document that:
| • | the COVID-19 vaccine was offered |
| • | the required education about the vaccine was provided to the patient/parent/guardian/representative |
| • | the patient/parent/guardian/representative consented to or declined the vaccine |
Size: 8 ½" x 11"
Print: 2 sides, black ink
Punching: 5 holes top and side
Packaging: 100 per pad