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Get MS RCSD Immunization Consent & Release From Liability For Inactivated Seasonal Influenza Vaccine 2017-2024

VATED SEASONAL INFLUENZA VACCINE ( FLU SHOT ) RANKIN COUNTY SCHOOL DISTRICT GREAT TO BEST Check: Staf or Student Name of School: Home Room Teacher: NAME of PERSON RECEIVING vaccination: Date of Birth: / / Age: Street Address: Male Female City: State: Zip: (If.

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How to fill out and sign Consent influenza flu shot form online?

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  1. Select the orange Get Form button to start modifying.
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  4. Be sure the information you fill in MS RCSD Immunization Consent & Release From Liability For Inactivated Seasonal Influenza Vaccine is updated and correct.
  5. Indicate the date to the sample using the Date function.
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  8. Click Done in the top right corne to save and send or download the document. There are various options for getting the doc. As an instant download, an attachment in an email or through the mail as a hard copy.

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