Form LHDO-COVID-19 Covid-19 Vaccine Administration Record - Kentucky (English / Spanish)

Form LHDO-COVID-19 Covid-19 Vaccine Administration Record - Kentucky (English / Spanish)

What Is Form LHDO-COVID-19?

This is a legal form that was released by the Kentucky Department for Public Health - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the LHDO-COVID-19 Vaccine Administration Record?
A: The LHDO-COVID-19 Vaccine Administration Record is a form used in Kentucky to track the administration of the COVID-19 vaccine in both English and Spanish.

Q: What information does the LHDO-COVID-19 Vaccine Administration Record collect?
A: The form collects information such as the recipient's name, date of birth, gender, race, and ethnicity, as well as details about the vaccine dose administered.

Q: Who uses the LHDO-COVID-19 Vaccine Administration Record?
A: Healthcare professionals and vaccination sites in Kentucky use the LHDO-COVID-19 Vaccine Administration Record to record the COVID-19 vaccine administration.

Q: Is the form available in both English and Spanish?
A: Yes, the LHDO-COVID-19 Vaccine Administration Record is available in both English and Spanish to accommodate individuals who speak either language.

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Form Details:

  • Released on March 3, 2021;
  • The latest edition provided by the Kentucky Department for Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form LHDO-COVID-19 by clicking the link below or browse more documents and templates provided by the Kentucky Department for Public Health.

Download Form LHDO-COVID-19 Covid-19 Vaccine Administration Record - Kentucky (English / Spanish)

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