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Nasal Flu Vaccination Consent Form Commencing Reception & Years 1 4 (DOB 01.09.2008 31.08.2013) Academic School Year 2017 2018 Child's First Name:Child's Surname:Date of Birth:Any other names previously
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Fill in your personal information accurately, including your full name, address, and contact details.
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Provide your date of birth and ensure it is correct.
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Indicate any relevant medical history or pre-existing conditions that may be necessary for the flu vaccination process.
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It is recommended to consult with Kernow Health or their guidelines to determine if you specifically need to fill out the flu-consent-form-v2.
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It is a consent form related to flu vaccination administered by Kernow Health.
Patients receiving flu vaccination from Kernow Health are required to fill out this form.
The form can be filled out by providing all the required personal and medical information accurately.
The form is used to obtain consent for flu vaccination and to gather necessary information for the vaccination process.
Personal information, medical history, consent for vaccination, and any relevant allergies or conditions must be reported on the form.
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