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COVID-19 Resources:

     

    Downloads and Form Files

    Click any of the forms below to download or print (PDF).

    COVID-19 Policies and Procedures

    1A. Pfizer – DOH Screening & Consent Form – English

    1B. Pfizer – DOH Screening & Consent Form – Spanish

    2A. Pfizer EUA Fact Sheet for Recipients & Caregivers – 12+ – English

    2B. Pfizer EUA Fact Sheet for Recipients & Caregivers – 12+ – Spanish

    2C. Pfizer EUA Fact Sheet for Recipients & Caregivers – 5-11 – English

    2C. Pfizer EUA Fact Sheet for Recipients & Caregivers – 5-11 – Spanish

    2D. Pfizer EUA Fact Sheet for Recipients & Caregivers – 6mo-4 – English

    3A. v-safe sheet – English

    3B. v-safe sheet – Spanish

    Small World Pediatrics

    2527 Windguard Circle

    Suite 102

    Wesley Chapel, FL 33544

    (813) 907-8001

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