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Get the free Albertsons Flu Shot Consent Form FOR STUDENTS STAFF.pdf

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Influenza & Pneumococcal Consent Form Patient Name: D.O.B. Age: Address: pH #: Primary Care Physician (if known): Weight if less than 66 lbs: Employees: United Family Team Member Number: Store Number/Location:
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How to fill out albertsons flu shot consent

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How to fill out albertsons flu shot consent

01
To fill out Albertsons flu shot consent form, follow these steps:
02
Visit the Albertsons website or go to a nearby Albertsons pharmacy.
03
Ask a pharmacist or a staff member at the pharmacy for the flu shot consent form.
04
Carefully read and understand the information provided on the form, including any potential side effects or risks associated with the flu shot.
05
Fill out your personal information accurately, including your full name, date of birth, address, and contact details.
06
Provide information about your medical history, including any allergies or pre-existing conditions.
07
Sign and date the consent form to indicate your agreement to receive the flu shot.
08
If the form requires additional information or signatures from a healthcare provider, make sure to complete those sections as well.
09
Return the completed consent form to the pharmacist or staff member at the Albertsons pharmacy.
10
Wait for further instructions or schedule an appointment for your flu shot.
11
Note: It's always a good idea to consult with a healthcare professional if you have any concerns or questions about receiving a flu shot.

Who needs albertsons flu shot consent?

01
Anyone who wishes to receive a flu shot at Albertsons pharmacy needs to fill out the flu shot consent form.
02
This includes individuals of all ages, including children and adults.
03
The consent form is necessary to ensure that individuals are providing informed consent and are aware of any potential risks or side effects associated with the flu shot.
04
Parents or legal guardians may need to fill out the consent form on behalf of a minor.
05
It is recommended to consult with a healthcare professional if you have any specific concerns or questions about the flu shot or the consent form.
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Albertsons flu shot consent is a document that patients sign to give permission for the administration of a flu vaccine, outlining potential risks and benefits.
Individuals receiving the flu shot at Albertsons locations are required to fill out and file the consent form.
To fill out the Albertsons flu shot consent, individuals must provide their personal information, health history, and sign the document indicating consent for the vaccination.
The purpose of the Albertsons flu shot consent is to inform patients about the vaccine, ensure their understanding of any risks, and legally obtain their permission for vaccination.
The Albertsons flu shot consent must report personal identification information, vaccination history, possible allergies, and consent signature.
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