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Source Individual Consent/Declination Form

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$19.15
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1 – 4$19.15
5 – 9$16.85
10 – 14$14.45
15 +$12.00
SKU: 2116
$19.15
This form explains to the resident/patient - in very simple terms - that by consenting to HBV/HIV infection testing, the facility/agency may protect and aid in the medical management of their employees. It further discusses the confidentiality of the matter and explains that the resident/patient (source individual) will not be charged.


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8 1/2 x 11 white paper black and red ink printed one side padded in 100s

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