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I'm or intranasal form 2009 H1N1 Influenza Vaccine Consent Form Section 1: Information about Child to Receive Vaccine (please print) STUDENTS NAME (Last) (First) PARENT/LEGAL GUARDIANS NAME (Last)
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How to fill out h1n1-combination-consent-formdoc - co kings:

01
Begin by carefully reading through the form to understand the information and consent required.
02
Start by filling out your personal information accurately. This includes your full name, date of birth, address, and contact details.
03
Provide your medical history, including any allergies, previous vaccinations, and relevant illnesses. Be honest and thorough in your responses.
04
Indicate if you have received the H1N1 combination vaccine before and provide the date if applicable.
05
Sign and date the consent form to acknowledge that you understand the risks and benefits associated with the vaccination.
06
If you are filling out the form on behalf of someone else, ensure to accurately provide their information and sign as their legal guardian or authorized representative.

Who needs h1n1-combination-consent-formdoc - co kings:

01
Individuals who are planning to receive the H1N1 combination vaccine.
02
People who have never received the H1N1 combination vaccine before and want to receive it.
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Those who need to provide informed consent for the vaccination, either for themselves or for someone under their legal guardianship.
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h1n1-combination-consent-formdoc - co kings is a document related to obtaining consent for a combination vaccine for H1N1.
Individuals who are seeking or administering the H1N1 combination vaccine are required to file the consent form.
The form should be filled out with the individual's personal information and consent to receive the H1N1 combination vaccine.
The purpose of the form is to ensure that individuals are fully informed and consent to receiving the H1N1 combination vaccine.
The form may require personal information such as name, date of birth, medical history, and signature for consent.
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