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20202021 Inactivated Influenza Vaccination Consent Form Drive Through State Employee ClinicVersion 09/01/2020 1) Do not attend the clinic if you do not feel well. 2) Review the separate Vaccine Information
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How to fill out drive-thru vaccination consent form

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How to fill out drive-thru vaccination consent form

01
Start by obtaining a drive-thru vaccination consent form from the vaccination center or healthcare provider.
02
Read the instructions and any accompanying information carefully before filling out the form.
03
Begin by providing your personal information, including your full name, date of birth, and contact details.
04
Next, provide your medical history, including any pre-existing conditions, allergies, or medications you are currently taking.
05
Make sure to answer all the questions on the form accurately and honestly.
06
If there are any specific questions related to the COVID-19 vaccination, follow the instructions provided or consult with a healthcare professional if needed.
07
Double-check all the information you have provided to ensure it is correct and complete.
08
Sign and date the consent form to indicate your agreement and understanding.
09
Return the completed form to the appropriate personnel at the drive-thru vaccination site.
10
Follow any additional instructions or procedures provided by the vaccination center or healthcare staff to complete the vaccination process.

Who needs drive-thru vaccination consent form?

01
Anyone who wishes to receive a COVID-19 vaccination through a drive-thru vaccination process needs to fill out a drive-thru vaccination consent form. This form ensures that the individual acknowledges and consents to receive the vaccine and provides necessary information for the vaccination process.
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A drive-thru vaccination consent form is a document that individuals must complete to give permission for receiving vaccinations while remaining in their vehicles at designated drive-thru sites.
Individuals receiving the vaccination at drive-thru sites are required to file the drive-thru vaccination consent form, and in some cases, parents or guardians must complete it for minors.
To fill out the drive-thru vaccination consent form, individuals need to provide personal information such as their name, date of birth, contact information, and sign the form to indicate their consent for vaccination.
The purpose of the drive-thru vaccination consent form is to ensure that recipients understand the vaccination process, potential side effects, and to formally obtain their permission to administer the vaccine.
The drive-thru vaccination consent form must include the individual's personal details, medical history, vaccination preferences, and signature acknowledging informed consent.
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