Walmart and sam's club vaccine administration record and informed consent 2025

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The document is a Vaccine Administration Record and Informed Consent form used by Walmart and Sam's Club. It collects personal information from individuals seeking vaccination, assesses their eligibility through a series of health-related questions, and includes sections for consent and acknowledgment of risks associated with vaccinations. The form also outlines the responsibilities of both the patient and the healthcare provider during the vaccination process.

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