Influenza Vaccine Consent Form
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Influenza Vaccine Consent Form - Mobile App

Platforms: iPhone, iPad, Android, Blackberry, Windows Mobile

Creator: Canvas - Iowa (#2)
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This mobile form from Inova Health System checks consent from a specified patient concerning about the Influenza vaccine. It marks the patient’s granted permission to be given the listed vaccine(s), and also declaration about past or present allergies and sicknesses. Patient’s data has screens readily available regarding personal information, signature and payment method.

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