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Influenza Immunization Informed Consent - Employee

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$33.80
SKU: 7123S-F24
$33.80

Available Now! Updated for the 2024-2025 Fall/Winter Virus Season

Use this form to document that:

the influenza vaccine was offered to the employee
the required education about the vaccine was provided to the employee
the employee consented to or declined the vaccine

Download Sample!

Size: 8 ½" x 11"

Print: 2 sides, black ink

Punching: 5 holes top and side

Packaging: 100 per pad

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