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Herpes Zoster/Zoster (Recombinant) Vaccine Informed Consent

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SKU: 2126RP

This form provides information for the patient/resident/resident representative regarding the new Herpes Zoster/Zoster (Recombinant) 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 (Recombinant) Vaccine.

Download a sample today!

  • Size: 8 ½” x 11”
  • Prints one side, black ink
  • Punches 5-holes top and side
  • 100 per pad

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