Flu shot form 2026

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  1. Click ‘Get Form’ to open the flu shot form in the editor.
  2. Begin by reviewing the criteria for flu vaccine administration. Ensure your child does not have any of the listed conditions, such as a severe allergy to eggs or an active neurological disorder.
  3. In the designated field, enter your child's name and date of birth (DOB) in the format MM/DD/YYYY.
  4. Next, fill in the appointment date for the flu shot using the same date format.
  5. Provide the legal guardian’s name in the specified area, ensuring it matches any identification documents if necessary.
  6. Finally, sign in the legal guardian’s signature field and date it accordingly.

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