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Self-declaration form for coronavirus vaccination
Published Updated
Here is a self-declaration form that can be used for coronavirus vaccination. This is a voluntary tool for structuring the collection of necessary information in connection with coronavirus vaccination.

Self-declaration form before vaccination
This can be filled in by the person to be vaccinated, brought on the vaccination day where the vaccinator can use it as documentation until electronic registration is possible.
08.04.2022: The form has been updated.
Information about the various diseases and conditions that were on the back page of the form can be found here:
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- Year: Dec 2020, Feb 2021, Mar 2021, Apr 2021, July 2021, Aug 2021, Sept 2021, Jan 2022, Apr 2022
- By: Norwegian Institute of Public Health