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Vacine Register for Vaccine Colorado  Form

Vacine Register for Vaccine Colorado Form

Use a Vacine Register For Vaccine Colorado template to make your document workflow more streamlined.

Vaccine(s). Update the patient’s personal record card or provide a new one whenever you administer vaccine. Vaccine Administered Vaccine Type of Vaccine1 Date Site2 mm/dd/yy Vaccine Mfr. Lot # Vaccine Information Statements Date on Date VIS VIS3 Provided3 Vaccine Administrator Signature/Title Tetanus, Diphtheria, (Pertussis) (e.g., Td, Tdap) Give IM. Hepatitis A (e.g., HepA, HepA-HepB) Give IM. Hepatitis B (e.g., HepB, HepA-HepB) Give IM. Human Papillomavirus (HPV) Give IM. Measles,...
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