Examples of Medically contraindicated in a sentence
If in the future I want to be vaccinated with seasonal flu vaccine, I can request the vaccination.Name (Print): Signature: Agency: Social Security Number (optional):Date: Reason for Declination: □ Medically contraindicated □ Other: Anticipated ExposureAttachment 3LETTER HEAD MEMOTo: (Medical Provider)From: County Health DepartmentDate: Re: (patient name) The person identified above is referred to you for consideration of prophylaxis therapy for potential exposure to laboratory confirmed Avian Influenza.
I understand that this agreement is intended to be broad and inclusive to the fullest extent permitted by the laws of the state in which the event(s) will take place.
Yes No If not, indicate why passive range of motion testing was not performed: Medically contraindicated (e.g., it may cause the Veteran severe pain or the risk of further injury).
Medically contraindicated individuals should obtain a signed medical exemption statement from their physician.
If in the future I want to be vaccinated with seasonal flu vaccine, I can request the vaccination.Name (Print):_ Signature:_ Agency:_ Social Security Number (optional):Date: Reason for Declination: □ Medically contraindicated_ _□ Other: _Attachment 3LETTER HEAD MEMOTo: (Medical Provider)From: County Health DepartmentDate: Re: (patient name) The person identified above is referred to you for consideration of prophylaxis therapy for potential exposure to laboratory confirmed Avian Influenza.