Get the free Minnesota 2010-2011 Influenza Vaccine School Consent Form
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Form to obtain consent for vaccination of a child with the 2010-2011 influenza vaccine, whether by injection or nasal spray, including eligibility screening and privacy information.
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How to fill out minnesota 2010-2011 influenza vaccine
How to fill out Minnesota 2010-2011 Influenza Vaccine School Consent Form
01
Obtain the Minnesota 2010-2011 Influenza Vaccine School Consent Form.
02
Fill in the student's personal information including name, date of birth, and school.
03
Provide information about the parent or guardian, including their name and contact details.
04
Consent section: Read the consent statement carefully, then indicate your decision by checking the appropriate box.
05
Sign and date the form to confirm your consent.
06
Submit the completed form to the school health office by the specified deadline.
Who needs Minnesota 2010-2011 Influenza Vaccine School Consent Form?
01
Students attending school in Minnesota who are eligible for the influenza vaccine.
02
Parents or guardians of students who wish to consent to their child's vaccination.
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What is Minnesota 2010-2011 Influenza Vaccine School Consent Form?
The Minnesota 2010-2011 Influenza Vaccine School Consent Form is a document that parents or guardians must complete to give permission for their child to receive the influenza vaccine at school.
Who is required to file Minnesota 2010-2011 Influenza Vaccine School Consent Form?
Parents or guardians of students who wish for their children to receive the influenza vaccine administered in a school setting are required to file the form.
How to fill out Minnesota 2010-2011 Influenza Vaccine School Consent Form?
To fill out the form, parents should provide their child’s name, date of birth, and other personal information, as well as sign and date the consent section indicating their permission to administer the vaccine.
What is the purpose of Minnesota 2010-2011 Influenza Vaccine School Consent Form?
The purpose of the form is to obtain parental consent for the administration of the influenza vaccine to students in order to promote public health and reduce the incidence of influenza.
What information must be reported on Minnesota 2010-2011 Influenza Vaccine School Consent Form?
The form must report information such as the student’s name, date of birth, address, contact information, and any relevant medical history or allergies, as well as a signature from the parent or guardian.
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