Covid Vaccine Consent Form Template

Covid Vaccine Consent Form Template - Web i certify that i am: Or (c) a person authorized to. (a) the patient and at least 18 years of age; (b) the legal guardian of the patient; Web by my signature below, i consent to the administration of the vaccine(s) by a pharmacist or a supervised student. I certify that, as of the date of my vaccination, i am 18 or older and i meet one or more of the. Web i understand the benefits and risks of the vaccination(s) as described in the vaccine information statement (vis), a copy of. I have been provided with the vaccine fact sheet corresponding to the vaccine(s) that i am receiving (pfizer.

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Or (c) a person authorized to. Web i certify that i am: Web by my signature below, i consent to the administration of the vaccine(s) by a pharmacist or a supervised student. Web i understand the benefits and risks of the vaccination(s) as described in the vaccine information statement (vis), a copy of. (b) the legal guardian of the patient; I certify that, as of the date of my vaccination, i am 18 or older and i meet one or more of the. I have been provided with the vaccine fact sheet corresponding to the vaccine(s) that i am receiving (pfizer. (a) the patient and at least 18 years of age;

(B) The Legal Guardian Of The Patient;

Web i certify that i am: Or (c) a person authorized to. I certify that, as of the date of my vaccination, i am 18 or older and i meet one or more of the. (a) the patient and at least 18 years of age;

I Have Been Provided With The Vaccine Fact Sheet Corresponding To The Vaccine(S) That I Am Receiving (Pfizer.

Web i understand the benefits and risks of the vaccination(s) as described in the vaccine information statement (vis), a copy of. Web by my signature below, i consent to the administration of the vaccine(s) by a pharmacist or a supervised student.

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