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COVID-19 VACCINATION: PARENT/GUARDIAN CONSENT ACKNOWLEDGEMENT AND DELEGATION Dear Parent: Proton Public Schools have partnered with Hartford Healthcare (HOC) to offer the Pfizer BioNTech SARSCoV2/COVID-19

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How to fill out covid-19 vaccination parentguardian consent

01

Obtain the consent form from the healthcare provider administering the covid-19 vaccination.

02

Fill out the parent/guardian section completely with accurate information.

03

Sign and date the consent form as the parent or legal guardian of the minor receiving the vaccination.

04

Provide any additional information or documentation requested on the form.

05

Return the completed consent form to the healthcare provider before the vaccination appointment.

Who needs covid-19 vaccination parentguardian consent?

01

Minors under the age of 18 who are receiving the covid-19 vaccination and require parental or guardian consent.

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What is covid-19 vaccination parentguardian consent?

Covid-19 vaccination parent/guardian consent is a form that allows parents or legal guardians to give permission for their minor child to receive the Covid-19 vaccine.

Who is required to file covid-19 vaccination parentguardian consent?

Parents or legal guardians of minor children are required to fill out the Covid-19 vaccination parent/guardian consent form.

How to fill out covid-19 vaccination parentguardian consent?

To fill out the Covid-19 vaccination parent/guardian consent form, parents or legal guardians must provide their child's personal information and signature.

What is the purpose of covid-19 vaccination parentguardian consent?

The purpose of Covid-19 vaccination parent/guardian consent is to ensure that parents or legal guardians are aware of and approve their child receiving the Covid-19 vaccine.

What information must be reported on covid-19 vaccination parentguardian consent?

The Covid-19 vaccination parent/guardian consent form typically requires information such as the child's name, date of birth, medical history, and parent/guardian signature.

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