Free Printable Flu Vaccine Consent Form - Have you received the flu vaccine before? Influenza vaccine can prevent influenza (flu). 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. I reviewed this consent form and understand the potential risks and benefits of the influenza (flu) vaccine. Specialty vaccine such as high dose or egg free must be received at a duke employee health clinic. The following consent form is only for the standard flu vaccine. Centers for disease control and prevention, national center for immunization and respiratory diseases (ncird) everything you need to know about the flu illness, including symptoms, treatment and prevention. Web baylor scott & white health. Do any of the following apply? Influenza (flu) vaccine (inactivated or recombinant):
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. Do any of the following apply? The following consent form is only for the standard flu vaccine. Have you received the flu vaccine before? Specialty vaccine such as high dose or egg free must be received at a duke employee health clinic. Centers for disease control and prevention, national center for immunization and respiratory diseases (ncird) everything you need to know about the flu illness, including symptoms, treatment and prevention. I reviewed this consent form and understand the potential risks and benefits of the influenza (flu) vaccine. Influenza vaccine can prevent influenza (flu). Influenza (flu) vaccine (inactivated or recombinant): Web baylor scott & white health. (contains thimerosal) complete information about person to receive the vaccine.