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Get Walmart Covid 19 Vaccine Questionnaire And Consent Form
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How to fill out the Walmart Covid 19 Vaccine Questionnaire And Consent Form online
This guide provides a comprehensive overview of how to efficiently complete the Walmart Covid 19 Vaccine Questionnaire And Consent Form online. By following these steps, users can ensure that they provide all necessary information accurately and securely.
Follow the steps to complete the Walmart Covid 19 vaccine questionnaire and consent form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin with Section A. Print clearly the required information including your first name, last name, home address, state, city, zip code, date of birth, and phone number. Make sure to select your race and gender appropriately.
- Indicate whether you have a primary care physician by selecting ‘YES’ or ‘NO’. If you selected ‘YES’, provide the name of your primary care physician.
- In Section B, respond to the eligibility questions regarding your current health status and any allergies. Answer each question honestly, selecting ‘YES’ or ‘NO’ as applicable.
- For the COVID-19 vaccine, if you reside in North Carolina or are receiving specific vaccinations, answer the additional questions in Section B related to recent vaccinations or treatments.
- Proceed to Section C, where you will read the consent statement carefully. After understanding the risks and benefits, acknowledge your consent by initialing where required. It is crucial to ensure you understand all aspects of the consent.
- Sign and date the form at the designated spaces to finalize your consent and acknowledgment.
- Finally, review the completed form for accuracy before submitting it. You can save any changes, download, print, or share the form as needed.
Complete your Walmart Covid 19 Vaccine Questionnaire And Consent Form online today for a seamless vaccination experience.
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