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    COVID-19 Vaccine Consent Forms

    Please print and Complete all three of these forms and bring with you the day of your vaccination.

    Call: (530) 926-4528   |   Text or Voicemail: (530) 412-5669   |   Fax: (530) 964-3141   |   PO Box 1143, McCloud, CA 96057   |    info@shastacascadehealth.org

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