Vaccine Consent Form Template

I consent to receiving a flu vaccine injection.

Vaccine consent form template. I have read and understood this information and the consumer medicine information for this vaccine. I have been offered a copy of the vaccine information statement s vis checked below. A vaccine consent form is what a patient is given in the event that the person is required to receive immunizations through a series of shots or any other means. Take your form filling process online to save time and keep a secure database of vaccine consent forms with jotform s vaccine consent form template.

I ask that the vaccine s checked below be given to me or to the person named below for whom i am authorized to make this request. As a healthcare professional the safety and security of your patients is of top priority but manual paperwork can be tedious time consuming and inefficient. Yu can simply download them and customize as per requirements. Fluquadri vaccine consent form medical history before agreeing to receive the flu vaccine please read the consumer medicine information cmi.

It is similar to medical consent forms where doctors cannot administer the treatment unless full consent is given by the patient. The first template consent form is designed for the injectable formulation of the vaccine the second template consent form is designed for the intranasal formulation of the vaccine and the third form is designed for both the injectable and the intranasal formulations. The cmi is available from the vaccine officer.