| Document Date: 2013-08-21 12:25:45
Open Document File Size: 94,83 KBShare Result on Facebook
Company Pacific Tea Company Inc. / pharmacy / / IndustryTerm retail site / blood products / / MedicalCondition leukemia / e.g. seizures / allergies / injury / cancer / HIV/AIDS / neurological disorder / disorders / / MedicalTreatment Immunization / vaccinations / vaccination / radiation treatments / immunizations / / Organization Medicare / / Position physician / care physician / Date Given Authorizing Physician / Pharmacist / medical director / / Product prednisone / / Technology radiation / X-ray / antibodies / /
SocialTag |
Microsoft Word - Immunization Consent Form Final1.docx