Test/Immunization Record

$42.55
In stock
Product Code :
MPSBRG-2123
More Information
MPN 2123
Brand Briggs Health Care
Packaging 100 per pad
Size 8 In x 11In

Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details.

See at a glance the complete record of resident, employee or volunteer tests/immunizations!

Updated to allow you to record information for each test/vaccine administered (including results/reactions). For immunizations that are not ordered annually, indicate year received, if known.

Includes: TB Screens, Pneumococcal Vaccines (both PPSV23 and PCV13), Tetanus Toxoid, Herpes Zoster (Shingles), Influenza Vaccine (Standard Trivalent, High Dose Trivalent, Quadrivalent, and other), Hepatitis B, and space to record Other Vaccines . 

Download a sample today!

            Size: 8 x 11

            Prints two-sides, black ink

            Punched 5-holes top and side

            100 per pad

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