Vaccine Screening Questionnaire Spanish, Immunizations Henrico County Virginia

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Download and print these pieces or give your patients the spanish specific urls and promote on time vaccination across the life span in spanish as well as in english. The following questions will help us determine which vaccines you may be given today. For example mmr vaccine is recommended and varicella vaccine should be considered for adults with cd4 t lymphocyte counts of greater than or equal to 200 cellsul.
vaccine screening questionnaire spanish

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At each visit use a standardized screening tool to assess patients consistently and correctly.

Pfizer ceo all rules vaccine election. Screening questionnaire for adult immunization did you bring your immunization record card with youyes. Screening checklist for contraindications to vaccines for adults patient name date of birth for patients. Adults pdf icon external icon.

Bring this record with you every time you seek medical care. Screening checklist for contraindications to live attenuated intranasal influenza vaccination form your patients fill out to help you evaluate if influenza vaccine can be given at that days visit includes information sheet for healthcare professionals p4067. Contraindications and precautions to commonly used vaccines.

The fotonovela is a tool to help facilitate a discussion of the importance of influenza vaccination among pregnant women. If you answer yes to any question it does not necessarily mean you should not be vaccinated. If you dont have a record card ask your healthcare provider to give you one.

Live virus vaccines eg mmr varicella zoster shingles and laiv are usually contraindicated in immunocompromised people. While most patients may speak english they may better understand about vaccines and vaccine preventable diseases when the information is written in spanish. Screening helps prevent adverse reactions such as anaphylaxis.

Screening checklist for contraindications to inactivated injectable influenza vaccination author. No it is important for you to have a personal record of your vaccinations. Download in english only pdf icon 3 mb 9 pages 8 x 11 download in spanish only pdf icon 3 mb 9 pages 8 x 11.

Screening checklist for contraindications to inactivated injectable influenza vaccination important screening questions for inactivated influenza vaccines self administered screening checklist for inactivated influenza vaccines p4066 01 spanish. The fotonovela is available in spanish and english bilingual. Screening checklist for contraindications to vaccines for adults screening questionnaire for vaccine contraindications for adults self administered checklist for adults about to be vaccinated p4065 01 spanish created date.

However there are exceptions. Children and teens pdf icon external icon. Before signing this screening questionnaire if you have any questions about the vaccination please consult your doctor healthcare center or the municipal office in charge of vaccination so that you fully understand the benefits and risks of vaccination before making a decision about vaccination.

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Vaccine Screening Questionnaire Spanish, Immunizations Henrico County Virginia

At each visit use a standardized screening tool to assess patients consistently and correctly.

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