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Template Letter for Consent - Staff

Resource: Template Letter for Consent - Staff

​This template letter can be used by long-term care facilities to gain consent from staff members to administer the vaccine.

Source: AHCA/NCAL
Topic(s): Vaccination
Audience(s): Support staff; Nursing Assistants; Nursing Technicians; Clinicians
Format: DOCX
Publication Date: January 21, 2021

Page last reviewed August 2022
Page originally created August 2022

Internet Citation: Template Letter for Consent - Staff. Content last reviewed August 2022. Agency for Healthcare Research and Quality, Rockville, MD.
https://www.ahrq.gov/nursing-home/resources/template-letter-staff.html

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