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Tdap addendum 2026
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- Click ‘Get Form’ to open the tdap addendum in the editor.
- Begin by filling in the name of the person receiving the vaccine. Ensure you include their last name, first name, and middle initial.
- Next, provide the clinic or office address where the vaccine will be administered. This includes street, city, county, state, and zip code.
- Enter the birthdate of the individual receiving the vaccine in mm/dd/yy format and select their sex by circling 'M' for male or 'F' for female.
- Fill in the date when the vaccine is administered along with details such as the vaccine manufacturer and lot number.
- Ensure that either the person receiving the vaccine or an authorized individual (like a parent or guardian) signs in the designated area.
- Finally, have the vaccine administrator sign and date their section, including their title for verification purposes.
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See more information form versions
We've got more versions of the information form form. Select the right information form version from the list and start editing it straight away!
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2015 | 4.8 Satisfied (277 Votes) |
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