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CONSENTFORMINORVACCINATIONFORM (PfizerBioNTechCOVID19vaccineONLY) WashingtonDepartmentofHealth(DOH)VaccinationSiteserviceslocatedthroughoutWashingtonStatemust haveasignedconsentformfromaparentorlegalguardianbeforeprovidingservicestoyouth,
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How to fill out consent for minor vaccination
How to fill out consent for minor vaccination
01
Obtain the consent form from the vaccination center or healthcare provider.
02
Read the form carefully and provide all the necessary information such as the minor's name, date of birth, and contact details.
03
Review the information about the vaccination, including the vaccine being administered and any potential side effects.
04
Discuss any concerns or questions with the healthcare provider before signing the consent form.
05
Sign and date the consent form to indicate your agreement and understanding of the vaccination process.
06
Return the completed consent form to the vaccination center or healthcare provider.
07
Keep a copy of the consent form for your records.
Who needs consent for minor vaccination?
01
Parents or legal guardians of a minor child who requires vaccination.
02
In some cases, the consent of both parents may be necessary, especially if they share legal custody.
03
In the absence of parents or legal guardians, other authorized individuals may need to provide consent for minor vaccination, such as caregivers or court-appointed representatives.
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What is consent for minor vaccination?
Consent for minor vaccination is a legal agreement that allows a parent or guardian to approve the administration of vaccines to a minor, acknowledging the benefits and potential risks of the vaccination.
Who is required to file consent for minor vaccination?
A parent or legal guardian of the minor is required to file consent for minor vaccination.
How to fill out consent for minor vaccination?
To fill out consent for minor vaccination, the parent or guardian typically needs to provide their name, contact information, the minor's details, vaccine-specific information, and sign the document to indicate consent.
What is the purpose of consent for minor vaccination?
The purpose of consent for minor vaccination is to ensure that a parent or guardian is informed about the vaccine and agrees to its administration, safeguarding the rights of the minor and the healthcare provider.
What information must be reported on consent for minor vaccination?
The consent form must report the parent's or guardian's contact information, the minor’s personal details, the specific vaccine to be administered, any known allergies, and the date and signature of the consenting individual.
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