Example of C19 Immz Form

Here is a link to the form: https://phsaehealth-eformsweb.azurewebsites.net/sandbox/form/60e39019fe193cf38a1044d9

The data element mapping table can be found on this Googlesheet: https://docs.google.com/spreadsheets/d/1IsktHIfJeVVX6Bz-aeDcaFT_pstbpatWZE_gelmTkOU/edit?usp=sharing