Get the free Student Flu Vaccine Consent and Screening Form 2016-2017

Mass. gov/dph/miis or contact the Massachusetts Immunization Program directly at 617-983-6800 or 888-658-2850. Massachusetts law M. G.L. c. 111 Section 24M requires providers to report immunization information to a computerized immunization registry known as the Massachusetts Immunization Information System MIIS. 796. 1420 Fax 617. 552. 7063 TDD/TTY 617. 796. 1089 Setti Warren Mayor Student Flu Vaccine Consent and Screening Form 2016-2017 Child s Last Name Date of Birth Age Gender M F...

How to fill out student flu vaccine consent

How to fill out student flu vaccine consent

1. Obtain the flu vaccine consent form for students.
2. Gather the necessary information such as the student's name, date of birth, and school information.
3. Read and understand the details of the consent form.
4. Provide clear instructions to the parent or guardian for filling out the form accurately.
5. Ensure that the parent or guardian understands the purpose and benefits of the flu vaccine.
6. Instruct the parent or guardian to sign and date the consent form.
7. Collect the completed and signed consent forms from each student.
8. Review the forms to ensure all necessary information is provided.
9. Keep the consent forms in a secure and confidential manner.
10. Submit the filled out consent forms to the relevant authorities or healthcare providers as required.

Who needs student flu vaccine consent?

1. All students who wish to receive the flu vaccine at school need to provide student flu vaccine consent.
2. Parents or guardians of students who are under the legal age need to fill out the consent form.
3. Students who have not previously received the flu vaccine may need a freshly filled out consent form.
4. Different schools or educational institutions may have specific requirements for flu vaccine consent, so it is important to consult their guidelines.

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What is student flu vaccine consent?

Student flu vaccine consent is a form that allows parents or guardians to authorize the administration of the flu vaccine to their child at school.

Who is required to file student flu vaccine consent?

Parents or guardians of students who wish to have their child receive the flu vaccine at school are required to file student flu vaccine consent.

How to fill out student flu vaccine consent?

To fill out student flu vaccine consent, parents or guardians must provide their contact information, student's information, medical history, and sign the consent form.

What is the purpose of student flu vaccine consent?

The purpose of student flu vaccine consent is to ensure that the school has permission to administer the flu vaccine to students and to keep track of which students have received the vaccine.

What information must be reported on student flu vaccine consent?

Student flu vaccine consent typically requires information such as student's name, date of birth, medical conditions, allergies, and parent/guardian contact information.