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Smallpox vaccination : patient medical history and consent form. Version 5

Published Date:

11/15/2003

Language:

English

[PDF-99.57 KB]

Details:

Corporate Authors:

Centers for Disease Control and Prevention (U.S.)

Keywords:

[+]

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).

Document Type:

Pamphlet (or booklet)

Collection(s):

Stephen B. Thacker CDC Library collection

Main Document Checksum:

[+]

Supporting Files:

No Additional Files

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