Tdap addendum 2026

1. Click ‘Get Form’ to open the tdap addendum in the editor.
2. Begin by filling in the name of the person receiving the vaccine. Ensure you include their last name, first name, and middle initial.
3. Next, provide the clinic or office address where the vaccine will be administered. This includes street, city, county, state, and zip code.
4. 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.
5. Fill in the date when the vaccine is administered along with details such as the vaccine manufacturer and lot number.
6. Ensure that either the person receiving the vaccine or an authorized individual (like a parent or guardian) signs in the designated area.
7. Finally, have the vaccine administrator sign and date their section, including their title for verification purposes.

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