div class=trans-pagebuttonPage 1button div class=trans-image amp-img class=trans-thumb alt=Page 1: SFDPH · 3142017 · JV-220B JV-221 JV-222 if applicable and JV-223 VI PROCEDURE A Prescribers shall choose between the JV-220A and the JV-220B forms based on the src=https:reader034fdocumentsusreader034viewer20220429195f623b700899a1649b51a0f2html5thumbnails1jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 2button div class=trans-image amp-img class=trans-thumb alt=Page 2: SFDPH · 3142017 · JV-220B JV-221 JV-222 if applicable and JV-223 VI PROCEDURE A Prescribers shall choose between the JV-220A and the JV-220B forms based on the src=https:reader034fdocumentsusreader034viewer20220429195f623b700899a1649b51a0f2html5thumbnails2jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 3button div class=trans-image amp-img class=trans-thumb alt=Page 3: SFDPH · 3142017 · JV-220B JV-221 JV-222 if applicable and JV-223 VI PROCEDURE A Prescribers shall choose between the JV-220A and the JV-220B forms based on the src=https:reader034fdocumentsusreader034viewer20220429195f623b700899a1649b51a0f2html5thumbnails3jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 4button div class=trans-image amp-img class=trans-thumb alt=Page 4: SFDPH · 3142017 · JV-220B JV-221 JV-222 if applicable and JV-223 VI PROCEDURE A Prescribers shall choose between the JV-220A and the JV-220B forms based on the src=https:reader034fdocumentsusreader034viewer20220429195f623b700899a1649b51a0f2html5thumbnails4jpg width=142 height=106 layout=responsive amp-img divdiv