• COVID-19 Vaccine Consent Form

    Covid-19 Vaccine 6m-5yrs
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  • I have read/had explained to me, and understand the COVID-19 vaccine emergency use authorization (EUA)sheet. I am the parent or legal guardian of the above child, I have the authority to make healthcare decisions for the child, and I give my permission for the child to receive COVID-19 vaccine. I understand the benefits and risks of COVID-19 vaccine. I understand my child's immunization information will go into a state database.

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