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Get Tx Ec-94 2014-2025
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How to fill out the TX EC-94 online
The TX EC-94 form is essential for consenting to the Tetanus and Diphtheria (Td) vaccine. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently online.
Follow the steps to fill out the TX EC-94 online.
- Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
- Begin by entering the name of the person who will receive the vaccine in the designated fields: Last name, First name, and Middle initial.
- Fill in the birthdate of the individual receiving the vaccine using the format mm/dd/yy.
- Indicate the sex of the individual by circling either M for Male or F for Female.
- Provide the address information including Street, City, County, and State (TX). Ensure the Zip code is also filled in correctly.
- If you are not the individual receiving the vaccine, provide the signature of the person who is consenting, or the signature of a parent or guardian if applicable.
- Date the signature to indicate when consent was given.
- A witness must sign and date the form in the designated area.
- The vaccine administrator must print their signature and include their title in the corresponding fields.
- Once all fields are completed, review the form for accuracy. You can then save your changes, download, print, or share the form as needed.
Complete your documents online to ensure a smooth vaccination process.
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