Transcription of Immunization Site Map - EZIZ
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IMM-718 A (11/01)Fill in your office/clinic s routine sitesfor adult Effective CaringOLeft Upper ArmRight Upper ArmRD:RD:RSC:RSC:LD:LD:LSC:LSC:Immunizat ion site MapRD or LD= Right or left deltoid (IM route)RSC or LSC= Right or left upper arm, subcutaneous tissue (SC route)
IMM-718 A (11/01) Fill in your office/clinic’s routine sites for adult immunizations. Safe•Effective•Caring O Left Upper Arm Right Upper Arm RD:
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