Get Addendum To Hpv - -9 Vaccine Information Statement. This Addendum To The Vis Confirms That

This guide provides clear instructions for filling out the Addendum To HPV - -9 Vaccine Information Statement, ensuring users can complete it effectively. Follow these steps to confirm consent for the vaccine in an informed and organized manner.

Follow the steps to fill out the Addendum To HPV - -9 Vaccine Information Statement

1. Click ‘Get Form’ button to obtain the form and access it for editing.
2. Begin by reading the statement at the top of the form carefully. This section confirms the intention to vaccinate the individual named.
3. Complete section two by acknowledging receipt of the Vaccine Information Statement (VIS) for the ®-9 vaccine.
4. In section three, confirm your understanding of the risks associated with the disease the vaccine prevents.
5. Section four requires you to indicate that you are aware of both the benefits and risks of the vaccine.
6. Use section five to affirm you have had the opportunity to ask questions regarding the disease, the vaccine, and the administration process.
7. In section six, acknowledge that the named individual will receive the vaccine to prevent the associated disease.
8. Section seven requires you to confirm that you are an adult with legal authority to consent for the vaccination.
9. Provide your signature in the designated area, indicating your permission for the vaccination.
10. Fill out the information related to the person receiving the vaccine, including name, birthdate, sex, and address.
11. If applicable, fill out the clinic/office use section, which includes details such as the administration date and vaccine lot number.
12. The designated signature area for the vaccine administrator and witness should be completed by the respective individuals.
13. Finally, review all entered information for accuracy. Once finalized, save the document electronically or print it for physical records.

Complete your Addendum To HPV - -9 Vaccine Information Statement online and ensure informed consent for vaccination.