WSU OccuVax Consent Release for Inactivated Influenza free printable template

Consent & Release for Inactivated Influenza Vaccine (Please see reverse side for Flu Vaccination Information) **Flucelvax Quadrivalent is a Chimerical (Preservative) Free Vaccination, which is safe

How to fill out consent release influenza vaccine

How to fill out WSU OccuVax Consent & Release for Inactivated Influenza

1. Obtain the WSU OccuVax Consent & Release form from the WSU health services website or office.
2. Read the instructions on the form carefully.
3. Fill in your personal details including name, address, and contact information.
4. Indicate your eligibility for the influenza vaccination by checking the appropriate boxes.
5. Review and sign the consent section that confirms your understanding of the vaccination process and potential risks.
6. Provide any necessary medical history information as prompted on the form.
7. Submit the completed form to the designated health services office either in person or as instructed.

Who needs WSU OccuVax Consent & Release for Inactivated Influenza?

1. Students, faculty, and staff at WSU who wish to receive the Inactivated Influenza vaccine.

People Also Ask about

What are valid reasons to decline the flu shot?

Reasons for Refusing the Flu Vaccine “I do not need the vaccination” (17.3%) “I might experience side effects or get sick from the vaccine” (12.2%) “I don't think the vaccination is effective in preventing flu” (11.8%).

What are AAP guidelines for influenza vaccine?

AAP's flu vaccine recommendations for kids: All children ages 6 months and older be vaccinated annually with influenza vaccine. Any licensed influenza vaccine appropriate by age and health status can be used.

What are acceptable reasons to not get the flu shot?

People with excuses why they don't “want” or “need” flu vaccine should reconsider. Excuse #1 - “I don't get the flu.” Excuse #2 “The influenza vaccine doesn't work.” Excuse #3 “The flu shot makes me sick.” Excuse #4 “I already had the flu earlier this year.” Excuse #5 “I have an egg allergy.”

Who gets intranasal flu vaccine?

The nasal spray flu vaccine is approved for use in healthy non-pregnant people, 2 through 49 years old. People with certain medical conditions should not get the nasal spray flu vaccine.

How do I refuse a flu shot?

Covered Individuals who choose to decline influenza vaccination must complete a Vaccine Declination Letter and submit it to the location vaccine authority on or before December 1, 2022.

Who is the best candidate for intranasal flu vaccine?

CDC recommends everyone 6 months and older get vaccinated every flu season. Children 6 months through 8 years of age may need 2 doses during a single flu season. Everyone else needs only 1 dose each flu season.

Who regulates the flu vaccine?

The Food and Drug Administration (FDA) is responsible for regulating vaccines in the United States.

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What is WSU OccuVax Consent & Release for Inactivated Influenza?

WSU OccuVax Consent & Release for Inactivated Influenza is a document that provides consent for receiving the inactivated influenza vaccine and releases the university from liability in case of any adverse effects.

Who is required to file WSU OccuVax Consent & Release for Inactivated Influenza?

All individuals who wish to receive the inactivated influenza vaccine through the WSU OccuVax program are required to complete and file the WSU OccuVax Consent & Release.

How to fill out WSU OccuVax Consent & Release for Inactivated Influenza?

To fill out the WSU OccuVax Consent & Release, individuals should provide personal information such as their name, date of birth, and contact information, as well as sign the document indicating their consent and understanding of the release.

What is the purpose of WSU OccuVax Consent & Release for Inactivated Influenza?

The purpose of the WSU OccuVax Consent & Release is to ensure that individuals understand the risks associated with the vaccine and agree to receive it while acknowledging the university's limited liability.

What information must be reported on WSU OccuVax Consent & Release for Inactivated Influenza?

The information that must be reported includes the individual's personal details, vaccination history, any known allergies, and acknowledgment of the vaccine's purpose and potential risks.