COVID-19 Staff Vaccination

Please complete with vaccination rate as of the date submitted. We appreciate your efforts and willingness to share. We want to recognize and highlight those homes with high staff vaccination rates throughout the IPRO 12-state region in an effort to help those who are encountering barriers.

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* 1. Please enter your contact information:

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* 2. Date:

Date

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* 3. As of today (date indicated above), the following percentage of our staff have been vaccinated:

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