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Immunization Screening Consent Form

Immunization Screening Consent Form

Use a screening consent form template to make your document workflow more streamlined.

New York State Department of Health Bureau of ImmunizationCOVID19 Immunization Screening and Consent Form* Recipient Name (please print)Preferred NameKey: W Woman/Girl TW Transgender Woman/Girl M...
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Open the immunization screening consent and follow the instructions
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