Immunization Registration for Homeless Clinic

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Author: Columbus Public Health

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Immunization Registration for Homeless Clinic 1 id2242

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Columbus Public Health uses this modifiable immunization registration form to sign homeless individuals up for vaccinations, as well as gain the patient's contact information, and consent.

Program: Community Health

Submitted Date: Dec 27, 2010 | Modified Date: Sep 30, 2025

Primary Toolkit: Infectious Disease Prevention and Control Toolkit | Secondary Toolkit: N/A

Jurisdiction:

Institution Type: LHD - Metropolitan,

Keywords: Infectious Disease, Immunization, Workforce Development

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