Scribd Logo
Upload

Welcome to Scribd!

  • Consentimiento Vacunas DPT y e Influenza

    Uploaded by

    villegathalia900
    3 views3 pages
    Thalia Villega has authorized vaccinations for her child Ariadna Vásconez, who is in 2nd grade at Abelardo Flores school. She has authorized the DPT and polio vaccines for children aged 5 years to 5 years and 11 months, as well as the dt vaccine for those aged 15 years to 15 years and 11 months, as administered by health professionals from the Ministry of Public Health at the Conocoto Health Center. The mother's phone number and ID are provided.

    Original Description:

    Hi pzbbsbn

    Original Title

    CONSENTIMIENTO VACUNAS DPT Y E INFLUENZA

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Thalia Villega has authorized vaccinations for her child Ariadna Vásconez, who is in 2nd grade at Abelardo Flores school. She has authorized the DPT and polio vaccines for children aged 5 years to 5 years and 11 months, as well as the dt vaccine for those aged 15 years to 15 years and 11 months, as administered by health professionals from the Ministry of Public Health at the Conocoto Health Center. The mother's phone number and ID are provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views3 pages

    Consentimiento Vacunas DPT y e Influenza

    Uploaded by

    villegathalia900
    Thalia Villega has authorized vaccinations for her child Ariadna Vásconez, who is in 2nd grade at Abelardo Flores school. She has authorized the DPT and polio vaccines for children aged 5 years to 5 years and 11 months, as well as the dt vaccine for those aged 15 years to 15 years and 11 months, as administered by health professionals from the Ministry of Public Health at the Conocoto Health Center. The mother's phone number and ID are provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    Coordinación Zonal 9 - Salud

    Centro de Salud de Conocoto

    AUTORIZACIÓN PARA PROCEDIMIENTOS EN CAMPAÑA DE VACUNACIÓN


    AÑO LECTIVO 2023-2024

    Yo, Thalia Villega ……. representante del Niño @........Ariadna Vásconez ........................
    de……2 ……. básica, paralelo…A……. De la Institución Educativa……Abelardo Flores …….
    Autorizo a los profesionales del MINISTERIO DE SALUD PÚBLICA del CS. Tipo C-Conocoto
    se administre la vacuna que corresponda a mi hij@ según su edad:

    VACUNACIÓN ESCOLAR:

    AUTORIZO
    EDAD VACUNAS SI NO
    5 AÑOS HASTA 5 AÑOS 11 MESES DPT (Difteria, Tosferina y Tétanos) –
    Y 29 DÍAS b POV (Poliomielitis oral) X
    15 AÑOS AÑOS HASTA 15 AÑOS Dt (Difteria y Tétanos)
    11 MESES Y 29 DIAS

    FIRMA DEL REPRESENTANTE………………………………………..


    Nº DE Cédula. 1725909673___________
    Teléfono……0987365357 ……………….

    Dirección: Av. Juan León Mera N 26-38 y Santa María Código postal: 170146 / Quito Ecuador
    Teléfonos: 593-23931-020 – www.salud.gob.ec
    Coordinación Zonal 9 - Salud
    Centro de Salud de Conocoto

    Dirección: Av. Juan León Mera N 26-38 y Santa María Código postal: 170146 / Quito Ecuador
    Teléfonos: 593-23931-020 – www.salud.gob.ec
    Coordinación Zonal 9 - Salud
    Centro de Salud de Conocoto

    Dirección: Av. Juan León Mera N 26-38 y Santa María Código postal: 170146 / Quito Ecuador
    Teléfonos: 593-23931-020 – www.salud.gob.ec

    You might also like