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Get and Sign Bureau of Infectious Disease Control NH COVID 19 Employer 2021-2022 Form

Get and Sign Bureau of Infectious Disease Control NH COVID 19 Employer 2021-2022 Form

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Artery disease or cardiomyopathies Immunocompromised states Obesity body mass index of 30 kg/m or higher Pregnancy Sickle cell disease Type 2 Diabetes Mellitus Note DPHS allows a health care provider to vaccinate any patient assessed to have significant risk for severe illness due to comorbidities even if not listed here. Bureau of Infectious Disease Control MEDICAL VERIFICATION FORM FOR COVID-19 VACCINE Patient Information Name Last First M. This list does not include every condition that...
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