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2015 / 2016 SCHOOL VACCINATION CLINICS VACCINE CONSENT FORM & ADMINISTRATION RECORD * Complete both sides of form. * Section 1: Information on Person to Receive Vaccine (please print) NAME (Last)
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How to fill out 2015 flu vaccine consent
How to fill out 2015 flu vaccine consent?
01
Obtain the consent form: Contact your healthcare provider, pharmacy, or local health department to obtain the 2015 flu vaccine consent form. They will usually have these forms readily available for patients.
02
Read the form carefully: Take the time to carefully read through the consent form. Make sure you understand all the information provided and any potential risks or side effects associated with the flu vaccine.
03
Provide personal information: The consent form will require you to provide personal information such as your name, date of birth, address, contact information, and medical history. Fill in these details accurately.
04
Consent for vaccination: In the form, there will be a section where you give your consent for receiving the flu vaccine. Make sure to carefully read the statements and indicate your agreement by checking the appropriate box or signing the form.
05
Provide additional information: The form may include sections where you can provide additional information or answer specific questions related to your health or vaccine preferences. Fill in these sections if required.
06
Seek clarification if needed: If any part of the consent form is unclear or you have questions, don't hesitate to seek clarification from your healthcare provider or the authorized personnel handling the form.
Who needs 2015 flu vaccine consent?
01
Children: In most cases, consent forms are required for children under a certain age (usually 18 years old) to receive any medical treatment, including vaccines. Parents or legal guardians are usually required to provide consent on behalf of their children.
02
Individuals with diminished capacity: If someone has a condition that affects their decision-making ability, such as severe mental illness, intellectual disability, or cognitive impairments, they may require a legal guardian or a designated person to provide consent for them.
03
Adults: Some healthcare providers or institutions may require consent from all individuals, regardless of age, to ensure they have explicit permission to administer the flu vaccine.
Note: The specific requirements for flu vaccine consent may vary depending on the region, healthcare provider, or institution. Always follow the guidelines provided by your healthcare provider or the organization administering the vaccine.
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What is flu vaccine consent form?
Flu vaccine consent form is a document that gives permission for an individual to receive the flu vaccine.
Who is required to file flu vaccine consent form?
Individuals who wish to receive the flu vaccine are required to file the consent form.
How to fill out flu vaccine consent form?
To fill out the flu vaccine consent form, individuals need to provide their personal information, medical history, and sign to give consent for the vaccine.
What is the purpose of flu vaccine consent form?
The purpose of the flu vaccine consent form is to ensure that individuals understand the risks and benefits of the flu vaccine and give informed consent.
What information must be reported on flu vaccine consent form?
The flu vaccine consent form must include personal information, medical history, any allergies, and consent for the vaccine.
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