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CVS COVID-19 Vaccine Near Columbus OH
www.cvs.comPharmacy LocationBy appointment only6030 N Hamilton Rd(614) 245-60331495 West 5th Avenue(614) 486-71594777 Sawmill Road(614) 459-76412160 North High Street(614) 294-21052680 North High Street(614) 267-56073355 East Livingston Avenue(614) 237-3737933 Bethel Road(614) 459-95213) I am of legal age and authorized to execute this consent form or I am the parent/guardian of t he minor patient. 4) I will immediately alert the pharmacist of any medical conditions which may adversely affect my personal health or effectiveness of the vaccine. 5) I have been counseled about potential side effects after vaccination, when they
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billed to my medical benefit. 3) I am of legal age and authorized to execute this consent form or I am not of legal age and have obtained the signed consent of a parent or guardian. 4) I will immediately alert the pharmacist of any medical conditions which may adversely affect my personal health or effectiveness of the vaccine. 5) I
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You can get the updated COVID-19 vaccine at your nearest Albertsons pharmacy. Skip the line by scheduling your COVID-19 vaccination appointment, or you can simply walk into your local store pharmacy.
Online Consent & Release Form to streamline vaccine processing and reduce the number of patients in the waiting area; Personal protective equipment (PPE), including face shields, for all pharmacy associates. Hand hygiene practiced before and after immunizations, including changing gloves between patients
COVID-19 Vaccine Consent Form 2020 - 2021 . FOR NURSE TO COMPLETE Date Vaccine Administered: Vaccine Manufacturer: Pfizer Moderna Vaccine Lot Number: Expiration Date of Vaccine: Site of Injection: Left Deltoid Right Deltoid Signature and Title of Vaccine Administrator: Nicole Hines RN, MSN, CIC Diane Baker RN, BSN Karen Spees Sr LVN
3: Available vaccinations vary by location and are subject to state law restrictions. 4: Free flu shots with most insurance. No co-payment unless required by your plan. Find free flu shots, vaccines and immunizations from Albertsons near me. Schedule your flu shot and vaccinations with us today.
By my signature below, I consent to the administration of the vaccine(s) by a pharmacist or a supervised student pharmacist or technician, or other authorized person, where permitted by law or state/federal guidance, employed or contracted by Albertsons Companies or one of its affiliated pharmacies and to be contacted at the number provided
