English - 014-4871-64e - User Agreement for...
Dataset description:
User Agreement for Pharmacies Requesting Publicly Funded Influenza Vaccine in accordance with the UIIP Prequalification form for health care agencies and workplaces that are required to...
Additional Information
| Last updated | May 19, 2023 |
|---|---|
| Created | December 11, 2021 |
| Format | application/pdf |
| Form Number | https://forms.mgcs.gov.on.ca/dataset/47444c27-acc1-449d-bcba-ebad81889d52/resource/6d08f2a0-144c-49fe-908a-41c513d61a11/download/014-4871-64e.pdf |
| Form File Identifier | 014-4871-64E |
| Name | English - 014-4871-64e - User Agreement for Pharmacies with a Licensed Injection-Trained Pharmacist Requesting Publicly Funded Influenza Vaccines for the 2023/2024 Universal Influenza Immunization Program (UIIP) |
| Form File Status | Available |
| Description | |
| Language | English |
| Functionality | Fill, Print, and Submit |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2023-05 |