Immunization Registration for Homeless Clinic

Keywords / Description:

Columbus Public Health uses this modifiable immunization registration form to sign homeless individuals up for vaccinations, as well as gain the patient's contact information, and consent.

Click here for NACCHO's Collection of Adult Hepatitis B Virus (HBV) Vaccination Tools and Resources.

Toolkit:

Infectious Disease Prevention and Control Toolkit

Keyword Area:

Immunization, Infectious Diseases, Workforce Competency

Jurisdiction:

Institutional Author:

Columbus Public Health

Submitted:

12/27/2010

Modified:

07/29/2011

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