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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DH8010-DCHP
for the current year.
Form DH8010-DCHP Covid-19 Vaccine Screening and Consent Form - Florida
What Is Form DH8010-DCHP?
This is a legal form that was released by the Florida Department of Health - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DH8010-DCHP?
A: Form DH8010-DCHP is the Covid-19 Vaccine Screening and Consent Form.
Q: Who is the form for?
A: The form is for residents of Florida who are seeking to receive the Covid-19 vaccine.
Q: Why is the form required?
A: The form is required to assess the eligibility and screen for any potential contraindications before administering the Covid-19 vaccine.
Q: What information is needed on the form?
A: The form requires personal information, medical history, and consent to receive the Covid-19 vaccine.
Form Details:
- Released on October 18, 2022;
- The latest edition provided by the Florida Department of 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 DH8010-DCHP by clicking the link below or browse more documents and templates provided by the Florida Department of Health.
Download Form DH8010-DCHP Covid-19 Vaccine Screening and Consent Form - Florida
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