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Immunization Consent Participant Name (First)(MI)If Under 18Parent/Guardian Full Name & Phone(Name)(Phone) Mobile# Home# Employer: 0Personal Phone: Date of Birth: Month Mailing Address:(Last)DayYearAge:(Street
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How to fill out flu only consent

01
Begin by understanding the purpose of flu only consent.
02
Gather the necessary information and forms required for flu only consent.
03
Ensure the person filling out the consent understands the risks and benefits of receiving the flu vaccine.
04
Provide clear instructions on how to properly complete the flu only consent form.
05
Double-check that all sections of the form are correctly filled out, including personal information, medical history, and any allergies or previous adverse reactions to vaccines.
06
Review the completed flu only consent form for accuracy and completeness.
07
Submit the filled-out form to the designated authority or healthcare provider for processing.
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Keep a copy of the flu only consent form for your records.

Who needs flu only consent?

01
Individuals who want to receive the flu vaccine but are required to give their consent for administration specifically for the flu vaccine only.
02
Parents or guardians of children who are eligible to receive the flu vaccine and need to provide their consent for their child's vaccination.
03
Adults who are incapable of providing their own consent and have a legal guardian or healthcare proxy responsible for making medical decisions on their behalf.
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Flu only consent is a form that allows individuals to consent to receive the flu vaccine only, without receiving other vaccines.
Individuals who only wish to receive the flu vaccine and not other vaccines are required to file flu only consent.
To fill out flu only consent, individuals must indicate their preference to receive only the flu vaccine and provide necessary personal information.
The purpose of flu only consent is to ensure that individuals can consent to receiving only the flu vaccine, if they choose to do so.
Flu only consent typically requires personal information such as name, date of birth, and contact information, along with the individual's preference for receiving only the flu vaccine.
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