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Get and Sign Publix Vaccine Consent Form

Get and Sign Publix Vaccine Consent Form

Use a publix covid vaccine consent form template to make your document workflow more streamlined.

Have a cold, fever, or acute illness? Do you have any allergies to medications, food, or any vaccine? List:________________________ Are you allergic to chicken eggs or egg product? Are you allergic to Thimerosal (cleaning products or contact lens solution)? Have you ever had a serious reaction after receiving a vaccination? Have you ever been diagnosed with Guillain-Barre’ syndrome? (for meningococcal) Do you have a seizure, brain, or nerve problem? (for pertussis) Do you have a weakened immune...
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Quick steps to complete and eSign Publix Vaccine Consent Form online:

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  2. Start completing the fillable fields and carefully type in required information.
  3. Use the Cross or Check marks in the top toolbar to select your answers in the list boxes.
  4. Utilize the Circle icon for other Yes/No questions.
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  10. Check the Help section and contact our Support team if you run into any issues while using the editor.

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