Welcome to CDC Stacks | Smallpox vaccination : patient medical history and consent form. Version 5 - 26093 | Stephen B. Thacker CDC Library collection
Stacks Logo
Advanced Search
Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.
 
 
Help
Clear All Simple Search
Advanced Search
Smallpox vaccination : patient medical history and consent form. Version 5
  • Published Date:
    11/15/2003
  • Language:
    English
Filetype[PDF - 99.57 KB]


Details:
  • Corporate Authors:
    Centers for Disease Control and Prevention (U.S.)
  • Description:
    Section A. General patient information -- Section B. Patient vaccination history -- Section C. Patient contact after vaccination -- Section D. Referring organization -- Section E. Patient medical history -- Section F. Signed consent (to be kept by the vaccination clinic) -- Section G. Current vaccination information (clinic staff will fill out this section).

  • Supporting Files:
    No Additional Files