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2014-2015 NEW HAMPSHIRE SEASONAL INFLUENZA SCHOOL VACCINATION CONSENT FORM SCHOOL NAME CITY SECTION 1: STUDENT INFORMATION Student s Name (Last) City GRADE (First) (M.I.) State Zip Parent/Legal Guardian
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How to fill out flu consent formpdf:

01
Start by downloading the flu consent formpdf from a trusted source or website.
02
Open the form using a PDF reader or editor program on your computer or mobile device.
03
Read the instructions and guidelines provided on the form carefully to understand the required information and any specific instructions for filling it out.
04
Begin by filling in your personal information, such as your full name, date of birth, address, and contact details. Make sure to provide accurate and up-to-date information.
05
Next, you may be required to provide information about your medical history, such as any existing medical conditions, allergies, or medications you are currently taking. It is important to be honest and thorough while providing this information, as it can help healthcare professionals assess your suitability for receiving the flu vaccine.
06
If the form requires you to specify your consent for the flu vaccine, make sure to indicate your choice clearly.
07
Review the completed form to ensure all information is accurate and legible. Double-check that you have answered all the required questions or sections.
08
Sign and date the form in the designated area, if required. Some forms may also ask for additional signatures or witness signatures, depending on the jurisdiction or organization providing the vaccine.
09
Once you have filled out and reviewed the form, save a copy for your records, if possible. Also, consider making a printed copy if needed to carry with you during your vaccine appointment.
10
Submit the completed form as per the instructions provided. This could involve mailing or emailing the form to the relevant healthcare provider, bringing it with you to your vaccine appointment, or submitting it through an online portal, if applicable.

Who needs a flu consent formpdf:

01
Individuals who are required to provide informed consent before receiving the flu vaccine, as specified by the organization or jurisdiction providing the vaccine.
02
In some cases, parents or legal guardians may need to fill out the flu consent form on behalf of a minor or someone who is incapable of giving consent themselves.
03
Different healthcare providers or vaccination clinics may have their own policies regarding the need for a consent form, so it is important to follow their specific instructions to ensure compliance with their requirements.
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