Hannaford printable vaccine consent form 2025

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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.
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.
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.
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.
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.
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