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COMMUNITY INFORMATION BULLETINConsent Form: Schooled Vaccination Clinics for 511 Yrs. Olds February 2, 2022, Dear Parents/Guardians: To support greater uptake of COVID-19 vaccinations for the 5to11yearold
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How to fill out consent form school-based vaccination

01
To fill out a consent form for school-based vaccination, follow these steps:
02
Read the consent form carefully and ensure you understand all the information provided.
03
Fill in the student's personal details such as their full name, date of birth, and student ID number.
04
Provide contact information for the parent or guardian, including their full name, phone number, and email address.
05
Specify the type of vaccination being consented for and provide any relevant medical history or allergies, if applicable.
06
Sign and date the consent form to confirm your authorization of the vaccination.
07
Return the completed consent form to the school administration or designated authority.
08
Keep a copy of the consent form for your records.

Who needs consent form school-based vaccination?

01
Any student who is eligible and willing to receive a vaccination administered at the school-based vaccination program requires a consent form.
02
The consent form is typically required for minors, so it must be filled out and signed by a parent or guardian on behalf of the student.
03
The form ensures that the student's legal guardian provides informed consent for the vaccination and acknowledges any potential risks or side effects.
04
It is important to check with your specific school or vaccination program for any additional eligibility criteria or requirements.
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The consent form for school-based vaccination is a document that allows parents or guardians to give permission for their child to receive vaccinations at school.
Parents or guardians of students who wish to have their child vaccinated at school are required to file the consent form.
Parents or guardians can fill out the consent form by providing their child's information, signing and dating the form, and returning it to the school.
The purpose of the consent form for school-based vaccination is to ensure that parents are aware of and approve of their child receiving vaccinations at school.
The consent form must include the student's name, date of birth, the vaccines to be administered, any allergies or medical conditions, and parental/guardian signature.
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