Printable Proof Of Flu Shot Form - Flu can be very dangerous for children. This statement affirms that i have been. Ad discover vaccine options for flu prevention today. Publication date of vaccine information sheet (vis) _____ date vis given: Under age 65 age 65 or older off. Sign up for tips on healthy habits. Print out a flu shot consent form from the county's website, fill it out and bring it to the flu shot clinic. ® ® ® d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d vaccine administration record. Check one statement below and complete and sign the last. The flu vaccine is safe and. Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or. Ad take care of your employment needs. Learn more about flu prevention, why get the flu vaccine, & other common flu questions. (include campus if applicable) semester/year: Third party proof of vaccination form 9/2013 print student name:

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Publication date of vaccine information sheet (vis) _____ date vis given: Learn more about flu prevention, why get the flu vaccine, & other common flu questions. Sign up for tips on healthy habits. This statement affirms that i have been. If the patient is requesting a fu vaccination, indicate the patient’s age group: