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KAMEHAMEHA SCHOOLS MAUI INFLUENZA (FLU) VACCINATION PROGRAM EMPLOYEE CONSENT LIST Food/Drug/Vaccine ALLERGIES (if none known, write in NKA (No Known Allergies)) ___ Please answer YES or NO to the

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How to fill out flu vaccine staff consent

01

Obtain the flu vaccine staff consent form from your employer or healthcare provider.

02

Read the form carefully and follow all instructions provided.

03

Fill out all required personal information such as name, date of birth, and contact details.

04

Sign and date the form to indicate your consent to receive the flu vaccine.

05

Return the completed form to the designated person or department as specified.

Who needs flu vaccine staff consent?

01

All staff members who are required or choose to receive the flu vaccine need to fill out the flu vaccine staff consent form.

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What is flu vaccine staff consent?

Flu vaccine staff consent is a form that gives permission for staff members to receive the flu vaccine.

Who is required to file flu vaccine staff consent?

All staff members who wish to receive the flu vaccine are required to file flu vaccine staff consent.

How to fill out flu vaccine staff consent?

Flu vaccine staff consent can be filled out by providing personal information, signing the form, and indicating consent to receive the flu vaccine.

What is the purpose of flu vaccine staff consent?

The purpose of flu vaccine staff consent is to ensure that staff members are informed about and agree to receive the flu vaccine.

What information must be reported on flu vaccine staff consent?

Information such as name, contact information, medical history, and consent to receive the flu vaccine must be reported on flu vaccine staff consent.

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