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Consent Form Childhood Intranasal Flu Immunization Program 2020/21 Children aged 25years and not yet at school or Primary School aged children who have not had this vaccination at school Child's details:

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How to fill out consent to immunisation

01

Obtain the consent form from the healthcare provider administering the immunisation.

02

Read and understand the information provided on the consent form.

03

Fill in all required personal information accurately, such as name, date of birth, and contact information.

04

Provide information about the specific immunisation being administered, including the date and location.

05

Sign and date the consent form to indicate your agreement to receive the immunisation.

Who needs consent to immunisation?

01

Anyone receiving an immunisation, particularly minors under the legal age of consent, will need consent from a parent or legal guardian.

02

Adults with limited decision-making capacity may also require consent from a legal representative.

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What is consent to immunisation?

Consent to immunisation is the permission given by an individual or guardian for a healthcare provider to administer a vaccine.

Who is required to file consent to immunisation?

Parents or legal guardians are usually required to file consent to immunisation on behalf of minors. Adults can provide their own consent.

How to fill out consent to immunisation?

Consent to immunisation forms can usually be filled out in person at a healthcare facility or sometimes online. The form will require basic information about the individual receiving the vaccine and their guardian if applicable.

What is the purpose of consent to immunisation?

The purpose of consent to immunisation is to ensure that individuals are informed about the vaccine they are receiving and are giving their voluntary permission for it to be administered.

What information must be reported on consent to immunisation?

Consent to immunisation forms typically require information such as the name of the individual receiving the vaccine, their date of birth, the name of the vaccine being administered, and any known allergies or medical conditions.

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