Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
Training: Updates to Weekly COVID-19 Vaccination Data Reporting: Long-term Care Facilities – June 2023
Data Collection Forms and Instructions
ALL DATA COLLECTION FORMS ARE PRINT-ONLY
- Weekly COVID-19 Vaccination Summary Form for Residents at LTCFs (57.218) [PDF – 194 KB] – June 2023
- Table of Instructions [PDF – 327 KB] – June 2023
- Weekly COVID-19 Vaccination Summary Form for Healthcare Personnel at LTCFs (57.219) [PDF – 208 KB] – June 2023
- Table of Instructions [PDF – 349 KB] – June 2023
Resources