Product
number
R4065 |
|
| Date
published
February 2008 |
|
| Description |
|
Save valuable
time and make sure that adults are fully screened for vaccine
contraindications by using these simple one page questionnaires of 10
questions. Patients respond to questions by checking "yes" and "no"
boxes while waiting to be seen. Staff reviews patient answers during
the visit.
Adult immunization screening questionnaires for vaccine
contraindications are now available in convenient tear-off pads of 100
sheets of light gray paper. Each pad comes shrink-wrapped with 4 light
gray cardstock health professional reference cards that list
explanations and references for each contraindication. |
|
| Dimensions |
|
|
8 1/2" x 11" pads of 100 patient forms and 4 cardstock health
professional reference cards |
|
| Pricing |
|
|
|
| For quotes on
larger quantities or customizing call 651-647-9009 or email
admininfo@immunize.org |
|
| Credits |
|
| Created and
distributed by the Immunization Action Coalition. |
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