Consumer vaccination pre screening consent recording form 2025

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53 votes

The document is a Consumer Vaccination Pre-Screening/Consent and Recording Form for administering the influenza vaccine. It collects personal information, assesses vaccination needs and general health suitability, and includes a consent section where the consumer agrees to receive the vaccine. The form also requires pharmacy details and records of the vaccination administered.

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Versions	Form popularity	Fillable & printable
2019	4.9 Satisfied (47 Votes)
2014	4 Satisfied (53 Votes)

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