Tetanus/Diphtheria/Pertussis (Tdap) Vaccine Informed Consent - DIGITAL FORM
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New 2021
Informed Consent form for the administration of the Tetanus/Diphtheria/Pertussis (Tdap) vaccine. This form provides the information needed by the patient, parent , or responsible party as part of the education required for informed consent, including:
•Three (3) very serious diseases - tetanus, diphtheria, and pertussis
•Clinical symptoms of each disease
•Populations that should receive the Tdap vaccine
•Who should not receive or wait for the Tdap vaccine
•Clinical side effects of the Tdap vaccine
•Online location of the CDC VIS (Vaccine Information Statement)
•Acceptance/Declination options
Send completed License Agreements toCustomerSupport@BriggsCorp.com
*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.
Delivery: Digital*
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*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.