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Pneumococcal Vaccine Informed Consent (PPSV23 & PCV13) - DIGITAL FORM

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$110.00
SKU: 7122E
$110.00

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This updated informed consent form provides patient/resident information regarding both currently available pneumococcal vaccinations: PPSV23 and PCV13.  The form is used to document consent or declination of either of the pneumococcal vaccines.

Updated in February 2020 to reflect the ACIP (Advisory Committee on Immunization Practices) recommendations regarding both PPSV23 and PCV13 for the Adult Immunization Schedule for Persons Aged 19 Years and Older.

It includes information for the provider regarding which populations should receive the vaccine and provides information on sequencing of the vaccines.


*This this digital form is delivered as a form-fillable PDF and includes 1-year of updates.   To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment).  After 1- year, your update subscription will automatically renew.



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*This this digital form is delivered as a form-fillable PDF and includes 1-year of updates.   To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment).  After 1- year, your update subscription will automatically renew.

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