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20162017 SEASONAL INFLUENZA VACCINE CONSENT FORM Information collected on this form will be used to document permission for your child to receive the 20162017 Flu Vaccine. Record of this immunization
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What is 2016-2017 SEASONAL INFLUENZA VACCINE CONSENT Form?

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Seasonal influenza vaccine consent is a form that allows individuals to authorize the administration of the seasonal flu vaccine.
Anyone who wishes to receive the seasonal influenza vaccine may be required to file seasonal influenza vaccine consent.
To fill out seasonal influenza vaccine consent, individuals must provide their personal information, medical history, and sign the form to authorize the vaccine administration.
The purpose of seasonal influenza vaccine consent is to ensure that individuals understand the risks and benefits of the vaccine and give their informed consent for its administration.
Seasonal influenza vaccine consent may require individuals to report their name, date of birth, medical history, allergies, and any previous reactions to vaccines.
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