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For Office Use2017InfluenzaVaccineSchoolConsentFormPrivateVFCPolkCountyHealthDepartment STUDENTSNAME(Last) PARENT/LEGALGUARDIANSNAME(Last) ADDRESS CITY (First)(M.I.) GRADE(First)(M.I.)TEACHER/ADVISORSTUDENTSBIRTHDATE(m/d/y)AGEGENDERM/F.
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How to fill out 2017-18 school flu consent

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How to fill out 2017-18 school flu consent

01
Step 1: Obtain the 2017-18 school flu consent form from the school administration.
02
Step 2: Read the form carefully to understand the instructions and information required.
03
Step 3: Fill in the student's name, grade, and other necessary personal details.
04
Step 4: Indicate whether the student has any existing medical conditions or allergies.
05
Step 5: Specify the consent for the flu vaccination by checking the appropriate box.
06
Step 6: If the student has any specific instructions or restrictions regarding the flu vaccine, provide details in the designated section.
07
Step 7: Review the completed form to ensure all the required fields are filled out accurately.
08
Step 8: Sign and date the form as the parent or guardian of the student.
09
Step 9: Return the filled-out consent form to the school administration before the specified deadline.
10
Step 10: Keep a copy of the completed form for your records.

Who needs 2017-18 school flu consent?

01
Any student attending school during the 2017-18 academic year is required to have the school flu consent form filled out. This includes students of all grade levels, regardless of their age or medical history.
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18 school flu consent is a form that allows parents to give permission for their child to receive the flu vaccine at school.
Parents or legal guardians of school-aged children are required to fill out and file the 18 school flu consent form.
To fill out 18 school flu consent, parents or legal guardians need to provide their child's information, consent for the flu vaccine, and sign the form.
The purpose of 18 school flu consent is to allow schools to administer the flu vaccine to students with parental permission.
18 school flu consent must include the child's name, date of birth, parent or guardian contact information, consent for the flu vaccine, and signature.
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