Mpox Vaccine Screening and Consent Form Template Posted on October 12, 2022February 24, 2023 by ☰ MENU MpoxMpox BasicsVaccinationTreatmentData in VirginiaHealthcare ProvidersCommunications Resources Resources Audience Resource Type Source Languages Mpox Homepage Mpox Private Provider Screening and Consent Form Template (Word doc) (2pp, 49KB) Categories: Audience Guidance Documents Healthcare Resource Type Resources Opens pdf or document to download Opens in a new window External link will open in a new window. Click link to exit Virginia Department of Health Website.