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Form LHDO-COVID-19 Covid-19 Vaccine Administration Record - Kentucky (English / Spanish)
What Is Form LHDO-COVID-19?
This is a legal form that was released by the Kentucky Department for Public Health - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the LHDO-COVID-19 Vaccine Administration Record?
A: The LHDO-COVID-19 Vaccine Administration Record is a form used in Kentucky to track the administration of the COVID-19 vaccine in both English and Spanish.
Q: What information does the LHDO-COVID-19 Vaccine Administration Record collect?
A: The form collects information such as the recipient's name, date of birth, gender, race, and ethnicity, as well as details about the vaccine dose administered.
Q: Who uses the LHDO-COVID-19 Vaccine Administration Record?
A: Healthcare professionals and vaccination sites in Kentucky use the LHDO-COVID-19 Vaccine Administration Record to record the COVID-19 vaccine administration.
Q: Is the form available in both English and Spanish?
A: Yes, the LHDO-COVID-19 Vaccine Administration Record is available in both English and Spanish to accommodate individuals who speak either language.
Form Details:
- Released on March 3, 2021;
- The latest edition provided by the Kentucky Department for Public Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form LHDO-COVID-19 by clicking the link below or browse more documents and templates provided by the Kentucky Department for Public Health.
Download Form LHDO-COVID-19 Covid-19 Vaccine Administration Record - Kentucky (English / Spanish)
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