Form DOC03-173 Coronavirus (Covid-19) Vaccination Screening and Consent - Washington

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Form DOC03-173 Coronavirus (Covid-19) Vaccination Screening and Consent - Washington

What Is Form DOC03-173?

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.

FAQ

Q: What is DOC03-173?
A: DOC03-173 is a form for Coronavirus (Covid-19) Vaccination Screening and Consent in Washington.

Q: What is the purpose of this form?
A: The purpose of this form is to screen and obtain consent for Covid-19 vaccination in Washington.

Q: Who needs to fill out this form?
A: Anyone who wants to receive the Covid-19 vaccination in Washington needs to fill out this form.

Q: What information do I need to provide on this form?
A: You will need to provide personal information, medical history, and consent for Covid-19 vaccination.

Q: Can I refuse to fill out this form?
A: Yes, it is optional to fill out this form, but it is required to receive the Covid-19 vaccination.

Q: Is this form specific to Washington only?
A: Yes, this form is specific to Covid-19 vaccination in Washington.

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Form Details:

  • Released on October 11, 2021;
  • The latest edition provided by the Washington State Department of Corrections;
  • 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 DOC03-173 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.

Download Form DOC03-173 Coronavirus (Covid-19) Vaccination Screening and Consent - Washington

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