Vaccine Information Statement | Polio | VIS | CDC - adult polio vaccination consent form

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Ask the Experts: Documenting Vaccination adult polio vaccination consent form


Polio vaccine may be given at the same time as other vaccines. Most adults do not need polio vaccine because they were . Polio Vaccination Consent Form.

I consent to inclusion of this immunization data in the Kansas Immunization Polio/IPV. Rotavirus. Varicella. Other_. Signature of Patient or Parent/Guardian.

Tetanus, Diphtheria and Polio Vaccination - This form must be signed in the appropriate box by a parent/guardian/adult who has legal parental responsibility​.

Adult Immunization Consent Form. Name: This registry allows your health care providers to find out what immunizations you or your IPV – inactivated polio.