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20222023 INACTIVATED INFLUENZA CONSENT FORM Information about person to be vaccinated (please print)Assessment of vaccination history for child underage 9Last Name:___ Age:___ Sex: ___M ___F___ Child

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How to fill out 2022-2023 inactivated influenza consent

01

Obtain the 2022-2023 inactivated influenza consent form.

02

Fill in all required fields, including the participant's name, date of birth, and contact information.

03

Provide information on any medical conditions or allergies that may be relevant.

04

Review the form for completeness and accuracy.

05

Sign and date the form as the parent or legal guardian of the participant.

Who needs 2022-2023 inactivated influenza consent?

01

Anyone who wishes to receive the inactivated influenza vaccine for the 2022-2023 flu season will need to fill out the consent form.

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What is inactivated influenza consent form?

Inactivated influenza consent form is a document that provides information about the influenza vaccine and obtains consent from individuals to receive the vaccine.

Who is required to file inactivated influenza consent form?

Healthcare providers administering the inactivated influenza vaccine are required to have individuals fill out the consent form.

How to fill out inactivated influenza consent form?

Individuals can fill out the inactivated influenza consent form by providing their personal information, reading the information about the vaccine, and signing to give consent.

What is the purpose of inactivated influenza consent form?

The purpose of the inactivated influenza consent form is to inform individuals about the vaccine and obtain their consent to receive it.

What information must be reported on inactivated influenza consent form?

The inactivated influenza consent form must include personal information of the individual, information about the vaccine, and a section for consenting to receive the vaccine.

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