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Up-to-date Information
Up-to-Date Info: To find the latest CDC information on this topic go to: https://www.cdc.gov/coronavirus/2019-nCoV/index.html
Prevaccination checklist for COVID-19 vaccines
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04/19/2021
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Description:For vaccine recipients:
Patient Name: The following questions will help us determine if there is any reason you should not get the COVID-19 vaccine today.
If you answer “yes” to any question, it does not necessarily mean you should not be vaccinated. It just means additional questions may be asked. If a question is not clear, please ask your healthcare provider to explain it.
04/19/2021 CS321629-E
pre-vaccination-screening-form.pdf
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