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EASTERN KENTUCKY UNIVERSITY Serving Kentuckians Since 1906 DIVISION OF STUDENT AFFAIRS Student Health Services John D. Rowlett Building Rm. 103 521 Lancaster Avenue Richmond, Kentucky 40475-3102 (859)
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How to fill out allergy injection consent

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How to fill out allergy injection consent:

01
Obtain the consent form from your healthcare provider or clinic.
02
Read the form carefully and make sure you understand all the information provided.
03
Fill in your personal information accurately, including your name, date of birth, and contact information.
04
Indicate any allergies or medical conditions you may have that could be relevant to the allergy injection.
05
Provide emergency contact information in case of any complications during or after the injection.
06
Sign and date the consent form to acknowledge that you understand the risks and benefits of the allergy injection.
07
Return the completed consent form to your healthcare provider or clinic prior to the scheduled injection.

Who needs allergy injection consent:

01
Patients who are receiving allergy injections or immunotherapy.
02
Minors who are receiving allergy injections will need their parent or legal guardian to sign the consent form on their behalf.
03
It is important for individuals to give their informed consent before undergoing any medical procedures, including allergy injections, to ensure they understand the potential risks and benefits involved.
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Allergy injection consent is a form that allows a patient to receive allergy shots as part of their treatment plan.
The patient or their legal guardian is required to file allergy injection consent.
To fill out allergy injection consent, the patient or legal guardian must provide personal information, medical history, and consent to receive allergy shots.
The purpose of allergy injection consent is to ensure that the patient understands the risks and benefits of receiving allergy shots and gives informed consent.
Allergy injection consent must include the patient's name, date of birth, medical history, allergies, current medications, and any known allergies.
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