Vaccine Administration Record

Description

Designed for tracking pertinent vaccine administration data and also provides space for parent or legal guardian approvals. Forms include fields to record the following information for 12 different immunizations:

• Date given (month/date/year)
• Age and injection site
• Source of vaccine (federal, state, or private)
• Vaccine manufacturer and lot number
• Vaccine information materials publication date
• Initials of vaccine administrator
• Initials of parent or legal guardian

Sold in packs of 100 forms; 3-hole punched.

Details

• Product Code: HE0116
• Format: Forms and Charts
• Trim Size: 11 inches x 8.5 inches x 1 inches
• Publisher: American Academy of Pediatrics
• Availability: In Stock