Screening Questionnaire for High Risk Hepatitis Vaccination Eligibility

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Author: Columbus Public Health

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Screening Questionnaire for High Risk Hepatitis Vaccination...

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Columbus Public Healthdesigned this one page questionnaire as a self-administered screening form for adult clients. Vaccine providers at local health departments can use this to determine eligibility for the Hepatitis B Virus (HBV) vaccine among clients at disproportionate risk for HBVinfection.

Program: Community Health

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

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

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Institution Type: LHD - City,

Keywords: Infectious Disease, Immunization

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