Form preview

Get the free 2013-14 Influenza Vaccine Consent Form - west-bend k12 ia

Get Form
A consent form for parents or legal guardians to authorize vaccination for children against influenza, including information about eligibility and insurance details.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign 2013-14 influenza vaccine consent

Edit
Edit your 2013-14 influenza vaccine consent form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your 2013-14 influenza vaccine consent form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit 2013-14 influenza vaccine consent online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit 2013-14 influenza vaccine consent. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
With pdfFiller, it's always easy to work with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out 2013-14 influenza vaccine consent

Illustration

How to fill out 2013-14 Influenza Vaccine Consent Form

01
Download the 2013-14 Influenza Vaccine Consent Form from your healthcare provider's website or obtain a physical copy.
02
Fill in your personal information, including your name, date of birth, and contact information.
03
Indicate if you have any allergies, particularly to eggs or other vaccine components.
04
Review the vaccine information provided on the form regarding benefits and risks.
05
Sign and date the consent section to indicate your agreement to receive the vaccine.
06
Submit the completed form to your healthcare provider before your appointment.

Who needs 2013-14 Influenza Vaccine Consent Form?

01
Individuals who are seeking to receive the 2013-14 influenza vaccine.
02
Parents or guardians filling out for minors who need the influenza vaccine.
03
Health care workers or those in close contact with vulnerable populations.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
52 Votes

People Also Ask about

* ACIP recommends only single-dose seasonal influenza vaccines that are free of thimerosal as a preservative for all recipients. † The approved dose volume for Afluria is 0.25 mL for children 6 through 35 months and 0.5 mL for persons ≥3 years.
Everyone 6 months and older, with rare exceptions, should get a flu vaccine every season. For the 2025-2026 flu season, CDC recommends seasonal flu vaccination with single-dose formulations that are free of thimerosal as a preservative for children, pregnant women, and adults.
The flu vaccine is recommended for everyone 6 months of age and older. It does not cause the flu, and it helps keep kids and parents from getting sick. Getting the flu is worse than having a cold and can make a person sick for a week or more. Babies younger than 6 months can't get the vaccine.
Percent agreement between self‐report and final status was high for both current and prior season vaccination: 97.7% and 93.2%, respectively.
WHO recommends compositions of influenza virus vaccines twice a year during the months of February and September for Northern and Southern hemisphere, respectively. Recently, the Southern Hemisphere recommendation has been released on September 29, 2023. a B/Austria/1359417/2021 (B/Victoria lineage)-like virus.
June 25-26, 2025 ACIP recommends infants aged < 8 months born during or entering their first RSV season who are not protected by maternal vaccination receive one dose of clesrovimab. There is no preferential recommendation between nirsevimab and clesrovimab.
For adults 19 years of age and older, the deltoid muscle in the upper arm is the preferred site, although the vastus lateralis muscle in the anterolateral thigh may be used if the deltoid site cannot be used. Influenza vaccines are not highly viscous, so a fine-gauge (22- to 25-gauge) needle can be used.
* ACIP recommends only single-dose seasonal influenza vaccines that are free of thimerosal as a preservative for all recipients. † The approved dose volume for Afluria is 0.25 mL for children 6 through 35 months and 0.5 mL for persons ≥3 years.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The 2013-14 Influenza Vaccine Consent Form is a document that individuals must complete to give consent for receiving the influenza vaccine for the 2013-14 flu season.
Individuals receiving the influenza vaccine, or their legal guardians, are required to file the 2013-14 Influenza Vaccine Consent Form.
To fill out the form, individuals must provide their personal information, including their name, date of birth, contact details, and any medical history relevant to vaccination. They must also sign the form to indicate consent.
The purpose of the 2013-14 Influenza Vaccine Consent Form is to document the individual's consent to receive the influenza vaccine and to ensure that they are informed about the vaccine and any associated risks.
The information that must be reported includes the individual's name, date of birth, medical history, any known allergies, and the signature of the individual or guardian providing consent.
Fill out your 2013-14 influenza vaccine consent online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.