Get the up-to-date Flu Clinic Consent Form - Town of New Canaan 2025 now

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The document is a consent form for influenza immunization provided by the Town of New Canaan Health Department. It includes sections for personal information, payment options, medical history related to allergies and previous reactions to flu shots, and a signature line for consent. The form also contains instructions for clinic use regarding the vaccine administration.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I set up a flu clinic?

Planning an Influenza Vaccination Clinic Identify a Clinic Leader and Team. Plan Your Clinic and Workflow. Train Staff. Prepare the Clinic Space. Obtain Necessary Supplies. Store and Handle Vaccines Appropriately. Set Up the Clinic Schedule. Identify Patients Who Need to Be Vaccinated.

Do you need informed consent for vaccines?

Consent to Immunization There are no Federal or California State requirements for informed consent specifically relating to immunization. Federal law requires that healthcare staff provide a Vaccine information Statement to a patient, parent, or legal representative before each dose of certain vaccines.

What is a flu vaccine administration consent form?

A flu vaccine consent form is a document that is signed by a person who is receiving a flu vaccine. It outlines the risks and benefits of the vaccine, the potential side effects, and the persons permission for the vaccine to be administered.

Can an employer require you to get a flu shot?

State Laws on Mandatory Vaccinations In California, for example, healthcare employers must offer flu vaccines to their employees. Oregon also requires healthcare employers to offer preventative vaccination, but prohibits employers from making them mandatory.

What documentation is required when administering vaccines?

By law, the following information must be documented on the patients paper or electronic medical record (or on a permanent office log): The vaccine manufacturer. The lot number of the vaccine. The date the vaccine is administered.

free printable flu vaccine consent form

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How do you document the administration of the flu vaccine?

Job Aid Date of administration. Vaccine manufacturer. Vaccine lot number. Name and title of the person who administered the vaccine and address of the facility where the permanent record will reside. Vaccine information statement (VIS) Date printed on the VIS. Date the VIS was given to the patient or parent/guardian.

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The easiest way to modify Flu Clinic Consent Form - Town of New Canaan in PDF format online

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How do I set up a flu clinic?

Do you need informed consent for vaccines?

What is a flu vaccine administration consent form?

Can an employer require you to get a flu shot?

What documentation is required when administering vaccines?

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How do you document the administration of the flu vaccine?

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