Flu Vaccine Permission Form - Web influenza quadrivalent vaccine consent form. Yes no if yes, please stop and ask for employee health consent form. Influenza (flu) is a contagious disease that is caused by the influenza virus. (contains thimerosal) gsk, 6/09 sanofi. Who should and who should not get a flu vaccine? I reviewed this consent form and understand the potential risks and benefits of the influenza (flu) vaccine. When people get influenza they may have fever, chills, headache, dry cough, and muscle aches. M f are you an lvhhn employee? I have the legal authority to consent to have the minor patient named above vaccinated with the flu vaccine and am authorized to make health care decisions on behalf of the minor patient. The illness may last several days or longer.
Yes no if yes, please stop and ask for employee health consent form. M f are you an lvhhn employee? When people get influenza they may have fever, chills, headache, dry cough, and muscle aches. Influenza (flu) is a contagious disease that is caused by the influenza virus. Web more information on approved flu vaccines for the current flu season, and age indications for each vaccine are available in cdc’s table: Who should and who should not get a flu vaccine? I reviewed this consent form and understand the potential risks and benefits of the influenza (flu) vaccine. (contains thimerosal) gsk, 6/09 sanofi. Web influenza quadrivalent vaccine consent form. Web consent for influenza vaccine complete information about person to receive the vaccine. The illness may last several days or longer. I have the legal authority to consent to have the minor patient named above vaccinated with the flu vaccine and am authorized to make health care decisions on behalf of the minor patient.