Tx vaccine information form 2026

1. Click ‘Get Form’ to open the tx vaccine information form 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. Enter the birthdate in the format mm/dd/yy to accurately document the recipient's age.
4. Provide the clinic or office address where the vaccine will be administered, including street, city, county, and zip code.
5. Select the sex of the individual by circling either 'M' for male or 'F' for female.
6. Fill in details about the vaccine administered, including date, manufacturer, and lot number.
7. Ensure that either the recipient or an authorized person (like a parent or guardian) signs in the designated area to give consent for vaccination.
8. The vaccine administrator must also sign and provide their title along with a witness signature if required.

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