Get the free H1N1 School based consent form Inject - Royall School District - royall k12 wi

School Clinic (Injectable) 2009 H1N1 FLU VACCINE CONSENT FORM Information collected on this form will be used to document permission for your child to receive the 2009 H1N1 influenza vaccine at your

How to fill out h1n1 school based consent

How to fill out H1N1 school-based consent:

1. Obtain the consent form: Contact your child's school or health department to obtain the H1N1 school-based consent form. They may provide it in person or through their website.
2. Read the instructions: Carefully read the instructions provided on the consent form. Pay attention to any specific requirements or additional information that may be needed.
3. Fill in personal information: Begin by providing your child's personal information as requested on the form. This may include their full name, date of birth, address, and contact information.
4. Medical history: Fill out the section related to your child's medical history. Answer any questions about allergies, previous vaccinations received, or any existing medical conditions.
5. Parent or guardian consent: Sign and date the consent section to indicate your approval for your child to receive the H1N1 vaccine. Some forms may require additional information such as your relationship to the child or your ID number.
6. Submit the form: Once you have completed the consent form, return it to the appropriate authority, whether it's the school or health department. Follow any specified procedures for submission, such as mailing it or dropping it off in person.

Who needs H1N1 school-based consent?

1. Students: H1N1 school-based consent is typically required for students who are eligible to receive the H1N1 vaccine. This includes children of certain age groups as determined by public health guidelines.
2. Parents or guardians: As the legal guardian of a student, you will need to provide consent for your child to receive the H1N1 vaccine. This ensures that you are aware of the vaccination and have given your permission for its administration.
3. School administrators: School administrators play a crucial role in implementing the H1N1 vaccine program. They need the consent forms to ensure that only eligible students receive the vaccine and to maintain accurate records.

By following these steps and understanding who needs H1N1 school-based consent, you can ensure that your child receives the necessary vaccination and contributes to the health and safety of the school community.

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