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Screening Checklist for Contraindications to …

Screening Checklist for Contraindications to Vaccines for Adultspatient name date of birth / / For patients: The following questions will help us determine which vaccines you may be given today. If you answer yes to any question, it does not necessarily mean you should not be vaccinated. It just means additional questions must be asked. If a question is not clear, please ask your healthcare provider to explain it. 1. Are you sick today? 2.

Title: Screening Checklist for Contraindications to Vaccines for Adults Keywords: screening checklist for contraindications to vaccines for adults, questionnaire for adults needing vaccinations, contraindications in question form …

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