PARENT/GUARDIAN CONSENT FORM FOR MINOR TO RECEIVE COVID-19 VACCINE I, , being the parent, guardian or legal representative authorized to consent to medical treatment for the minor child listed below, hereby ...
Filetype PDF | Posted on 18 Aug 2022 | 2 years ago
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...Parent guardian consent form for minor to receive covid vaccine i being the or legal representative authorized medical treatment child listed below hereby and permit providers of new mexico department health nmdoh administer my with without physical presence understand that following delivery will observe a minute period monitor an adverse reaction if is unaccompanied should occur authorize any necessary emergency notify me as soon possible further acknowledge this may be verified either in person verbally by telephone before administered there are questions approved food drug administration under use authorization have been given access fact sheet recipients caregivers pfizer biontech eua fda gov recipient moderna modernatx com janssen janssenlabels benefits risks vaccination give permission vaccinated name receiving signature date home phone number staff only options provide include attends event signs on site brings signed present...