TX HISD No-Cost Flu Shot (IIV) Vaccine Consent Form 2018-2025 free printable template

20182019 COST Flu Shot (IIT*) Vaccine Consent Form Complete this form and return it to your children school, or sign up online at register.HISDflu.com PLEASE PRINT LEGIBLY WITH A BLUE OR BLACK PEN.

How to fill out TX HISD No-Cost Flu Shot IIV

How to fill out TX HISD No-Cost Flu Shot (IIV) Vaccine

1. Obtain the TX HISD No-Cost Flu Shot (IIV) Vaccine form from the HISD website or your school nurse.
2. Fill out the personal information section, including your name, address, and contact details.
3. Indicate any allergies or medical conditions that may affect your eligibility for the flu shot.
4. Sign and date the consent section to confirm your agreement to receive the vaccine.
5. Submit the completed form to your school nurse or designated health official.
6. Receive a confirmation of your appointment for the flu shot, if applicable.

Who needs TX HISD No-Cost Flu Shot (IIV) Vaccine?

1. All students enrolled in the Houston Independent School District (HISD).
2. Employees of HISD who are eligible for the flu shot.
3. Individuals identified as high-risk groups, such as those with chronic health conditions or weakened immune systems.
4. Family members of students or staff who may benefit from vaccination.

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What is TX HISD No-Cost Flu Shot (IIV) Vaccine?

TX HISD No-Cost Flu Shot (IIV) Vaccine is a seasonal influenza vaccination program offered by the Houston Independent School District (HISD) at no charge to participants, aimed at increasing flu vaccination rates and protecting public health.

Who is required to file TX HISD No-Cost Flu Shot (IIV) Vaccine?

Typically, individuals such as students, staff members, and their eligible family members are encouraged to participate in the TX HISD No-Cost Flu Shot (IIV) Vaccine program, but there are no mandatory filing requirements for specific groups.

How to fill out TX HISD No-Cost Flu Shot (IIV) Vaccine?

Participants usually need to complete a registration form, which may include providing personal information, insurance details (if applicable), and consent for vaccination, either online or on-site at the vaccination event.

What is the purpose of TX HISD No-Cost Flu Shot (IIV) Vaccine?

The purpose of the TX HISD No-Cost Flu Shot (IIV) Vaccine is to prevent the spread of influenza among students and staff, reduce absenteeism, and support overall community health during flu season.

What information must be reported on TX HISD No-Cost Flu Shot (IIV) Vaccine?

Information that must be reported includes participant details such as name, age, and contact information, vaccination date, vaccine lot number, and any adverse reactions if they occur post-vaccination.