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COVID-19 Vaccination Supplemental Funding
Jan 13, 2021 The acknowledgement must be submitted on official letterhead and utilize the attached Acknowledgement Letter for IP19-1901 COVID-19
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VACCINE CONSENT FORM
I hereby give my consent to the health care provider of The Kroger Co., its affiliates and subsidiaries, to administer the vaccine(s) I have requested above.
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COVID-19 VACCINE SCREENING AND CONSENT FORM
I docHub that I am: (a) the patient and at least 18 years of age; (b) the legal guardian of the patient and confirm that the patient is at least 5 years of age
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