Flu Vaccine Consent Form Template
Public hospitals in victoria.
Flu vaccine consent form template. I consent to receiving a flu vaccine injection. It should be signed by the patient or in the case of a minor by a parent or legal guardian. Is available from. Seasonal influenza vaccine consent form 2018 community program adult i consent to the personal details below being used by nsw health for administration and evaluation purposes.
Flu shot or flu jabs is the term used for influenza vaccine. A flu shot influenza vaccine consent form is a written authorization that gives a nurse or other medical practitioner the go ahead to administer the flu vaccine. This is a viral disease and has taken over the entire world in troll because of its many strains and scientists are always in a constant struggle to find a cure against each and every strain. Influenza vaccines are used against different strains of influenza.
The victorian healthcare system focuses on providing patient centered care that is timely appropriate and effective. If the vaccine is refused due to this content only children who are at high risk from flu due to a medical condition will be offered an alternative injected vaccine. Fluquadri vaccine consent form medical history before agreeing to receive the flu vaccine please read the consumer medicine information cmi. Hospitals health services.
There s a good chance your parents signed a consent form on your behalf before you even took your first steps in school. A consent form gives another person or party permission to carry out a specific duty. 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. The cmi is available from the vaccine officer.
The flu vaccine does not contain any live virus therefore you cannot get the flu from receiving the vaccine. This form includes a series of questions that can help to exclude patients who are at risk for complications and those who otherwise. The choice of which consent form s to distribute to parents guardians will depend on which vaccine formulation live attenuated intranasal vaccine laiv inactivated injectable vaccine or both will be offered at the slv clinic. The flu vaccine does not contain any live virus therefore you cannot get the flu from receiving the vaccine.
Flu consent form template last modified by. Consent forms are used in a wide variety of ways including in the fields of education health care and business. Please answer the questions below to allow us to assess your suitability to receive the flu vaccination. A list of public hospitals and health services in victoria.
Like all medications influenza vaccination can cause side effects. Cherstyn hurley created date. Annual influenza vaccine consent form flu shot.