Get Dshs C-99 Rabies Vis Addendum.03.09.pmd - Texas Department ... - Dshs State Tx

This guide provides detailed instructions for users on how to effectively fill out the DSHS C-99 Rabies VIS Addendum. The document is crucial for obtaining consent for rabies vaccinations and human rabies immunoglobulin.

Follow the steps to complete the DSHS C-99 form.

1. Press the ‘Get Form’ button to obtain the DSHS C-99 Rabies VIS Addendum. This action will allow you to access the document in an editable format.
2. Begin by filling out the 'Information about person to receive rabies vaccine and/or human rabies immunoglobulin (HRIG)' section. This includes entering the last name, first name, middle initial, address, city, county, state, age, and zip code of the individual receiving the vaccination.
3. In the signature fields, ensure that the designated person signs and dates the form. This is either the individual receiving the vaccine or their legal guardian. It is essential for legal consent.
4. In the section for the physician or clinic, the attending physician or witness must also provide their signature and date the form to validate the vaccine administration.
5. Complete the 'For clinic use only' section. Document the biologicals administered, dosage, date administered, lot number, and expiration date for each rabies vaccine received.
6. Review all filled sections for accuracy and completeness. Ensure that names and dates are correct and all required fields are filled out.
7. Once completed, save any changes made. Options to download, print, or share the form may be available based on the platform used for filling out the form.

Complete your documents online to ensure timely processing and compliance with health regulations.