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Consent for COVID-19 Immunization For use at Alberta Health Services (AHS) immunization programs. Use this form when a parent or alternate decision maker is not able to be with the person being immunized

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How to fill out consent for covid-19 immunization

01

Obtain the consent form from the healthcare provider administering the Covid-19 immunization.

02

Fill out your personal information accurately, including full name, date of birth, and contact information.

03

Review the information provided on the form about the immunization and potential side effects.

04

Sign and date the consent form to indicate your agreement to receive the Covid-19 immunization.

05

Return the completed form to the healthcare provider before receiving the immunization.

Who needs consent for covid-19 immunization?

01

Anyone under the age of 18 will need consent from a parent or legal guardian to receive the Covid-19 immunization.

02

Otherwise, any individual receiving the Covid-19 immunization should ideally have their own consent form filled out.

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What is consent for covid-19 immunization?

Consent for covid-19 immunization is the permission given by an individual to receive a vaccine to protect against the coronavirus.

Who is required to file consent for covid-19 immunization?

Individuals who wish to receive the covid-19 vaccine are required to file consent for immunization.

How to fill out consent for covid-19 immunization?

Consent for covid-19 immunization can be filled out by providing personal information and signing the consent form.

What is the purpose of consent for covid-19 immunization?

The purpose of consent for covid-19 immunization is to ensure that individuals are informed and agree to receive the vaccine.

What information must be reported on consent for covid-19 immunization?

Consent for covid-19 immunization must include personal information, vaccine type, and signature of the individual.

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