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Name Description
Caregiver-s-Authorization-Affidavit

This form is to be used to authorize medical care/ COVID-19 vaccination of a minor when a parent or guardian cannot be present at the time of the minor's vaccination.

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COVID-19 Vaccine Screening-English-updated 7-13-2021

Screening form for COVID-19 Vaccine - Includes information for BOTH sites

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COVID-19-VACCINE-SCREENING-FORM-SPANISH-updated 7-13-21

FORMULARIO DE EXAMEN PARA VACUNAS COVID-19

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ARROYO GRANDE - COVID-19 FORM

Includes Specific Directions for AG COVID-19 Vaccination Event - ARROYO GRANDE SOUTH COUNTY REGIONAL CENTER

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Cuesta-Vax-Site

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SLO - COVID-19 FORM

Form for Cuesta College Vaccination including directions.

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PASO ROBLES - COVID-19 FORM

Includes Specific Directions for PASO COVID-19 Vaccination Event - PASO ROBLES Event Center

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