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NORTHERN KENTUCKY UNIVERSITY HEALTH, COUNSELING & PREVENTION SERVICES Pediatric Influenza Vaccine Consent Form-FLU SHOT and NASAL SPRAY Section 1: Information about Child to Receive Vaccine (please
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What is pediatric flu vaccine consent?
Pediatric flu vaccine consent is a form that gives permission for a child to receive a flu vaccine.
Who is required to file pediatric flu vaccine consent?
Parents or legal guardians of a child who is eligible for a flu vaccine are required to file pediatric flu vaccine consent.
How to fill out pediatric flu vaccine consent?
To fill out pediatric flu vaccine consent, you need to provide the child's information, the parent or guardian's contact details, and express consent for the vaccine administration.
What is the purpose of pediatric flu vaccine consent?
The purpose of pediatric flu vaccine consent is to ensure that parents or guardians are aware and give permission for their child to receive the flu vaccine.
What information must be reported on pediatric flu vaccine consent?
Pediatric flu vaccine consent typically requires information such as the child's name, birthdate, healthcare provider information, and any allergies or medical conditions that could affect vaccine administration.
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