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Assisted Living - Forms
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| CP1814 | | | Employee Informed Consent for H1N1 Influenza Vaccine - discontinued | | This form has been discontinued. A new form to replace it, Employee Influenza Consent (item # CP1816), is currently in development. For more information about this new form, contact the MED-PASS LTC team at 800-438-8884.
Healthcare workers are among the people most recommended to receive the H1N1influenza vaccine. Because of their potential to spread the disease among more vulnerable populations, vaccination of all care facility staff is a sound infection control measure.
Use this form to document the informed consent or refusal to provide consent by an employee to receive the H1N1 Influenza vaccine. | |
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