Formflu Shot Consent Form 2022

Formflu Shot Consent Form 2022 - Give consent to the name of organization conducting clinic and its staff for my child named at the top of this form to be vaccinated. Influenza (flu) is a contagious disease that is caused by the influenza virus. I grant authorization and consent for salina family healthcare center to administer influenza vaccine to the above named minor. The influenza vaccine produces immunity in approximately two weeks. I consent to receiving the seasonal influenza vaccine. If signing for someone other than myself, i confirm that i am the parent / legal guardian or. It does not protect you from the common cold, bronchitis or.

The influenza vaccine produces immunity in approximately two weeks. I consent to receiving the seasonal influenza vaccine. Give consent to the name of organization conducting clinic and its staff for my child named at the top of this form to be vaccinated. It does not protect you from the common cold, bronchitis or. Influenza (flu) is a contagious disease that is caused by the influenza virus. I grant authorization and consent for salina family healthcare center to administer influenza vaccine to the above named minor. If signing for someone other than myself, i confirm that i am the parent / legal guardian or.

If signing for someone other than myself, i confirm that i am the parent / legal guardian or. I consent to receiving the seasonal influenza vaccine. The influenza vaccine produces immunity in approximately two weeks. Influenza (flu) is a contagious disease that is caused by the influenza virus. Give consent to the name of organization conducting clinic and its staff for my child named at the top of this form to be vaccinated. I grant authorization and consent for salina family healthcare center to administer influenza vaccine to the above named minor. It does not protect you from the common cold, bronchitis or.

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If Signing For Someone Other Than Myself, I Confirm That I Am The Parent / Legal Guardian Or.

Give consent to the name of organization conducting clinic and its staff for my child named at the top of this form to be vaccinated. I grant authorization and consent for salina family healthcare center to administer influenza vaccine to the above named minor. It does not protect you from the common cold, bronchitis or. The influenza vaccine produces immunity in approximately two weeks.

Influenza (Flu) Is A Contagious Disease That Is Caused By The Influenza Virus.

I consent to receiving the seasonal influenza vaccine.

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