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Get Tetanus Consent Form

Mount Sinai St. Lukes and Mount Sinai Roosevelt University Medical Practice Associates (UMPA) Tdap (Tetanus, Diphtheria, Pertussis) Immunization Consent Form Recipient First and Last Name (Print):.

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  3. Fill in the blank areas; involved parties names, addresses and phone numbers etc.
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  6. Click Done after double-examining all the data.
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