This version of the form is not currently in use and is provided for reference only. Download this version of Form DOC03-173 for the current year.
This is a legal form that was released by the Washington State Department of Corrections - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the purpose of form DOC03-173?
A: The form is for Covid-19 vaccination screening and consent in Washington.
Q: What does the form cover?
A: The form covers screening questions and consent for Covid-19 vaccination.
Q: Why is screening necessary?
A: Screening is necessary to ensure that vaccination is safe for the individual.
Q: Who should fill out this form?
A: Anyone who wants to receive a Covid-19 vaccination in Washington should fill out this form.
Form Details:
Download a printable version of Form DOC03-173 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.