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V A C C I N E A D M IN I S T R A T I ON C O N S E ... - H-E-B

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administration for observation by the administering health care provider. I understand that in the course of the requested vaccine administration, an H-E-B Pharmacy representative could possibly be exposed to my blood or bodily fluids. In such event, I agree to review and execute the “H-E-B Post-exposure onsent for Testing” form.

  Administering, Vaccine, V a c c i n e

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