Home
Forms Library
Publix vaccine consent form

Get the up-to-date publix covid vaccine form 2025 now

publix vaccine consent form Preview on Page 1

Show details

4.6 out of 5

38 votes

The document is an Immunization Consent Form used by Publix Super Markets, Inc. It collects personal information from the patient and assesses their medical history through a series of questions regarding allergies, previous reactions to vaccines, and current health conditions. The form includes acknowledgments about understanding the vaccine information, privacy practices, and consent for insurance claims. It also contains a waiver of liability, stating that the patient assumes responsibility for any adverse effects from the vaccination.

Here's how it works

01. Edit your publix vaccine consent form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send publix flu shot form via email, link, or fax. You can also download it, export it or print it out.

The best way to modify Publix covid vaccine form in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Adjusting documents with our comprehensive and user-friendly PDF editor is straightforward. Adhere to the instructions below to fill out Publix covid vaccine form online easily and quickly:

Log in to your account. Log in with your email and password or register a free account to try the service prior to choosing the subscription.
Import a form. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Publix covid vaccine form. Quickly add and underline text, insert pictures, checkmarks, and symbols, drop new fillable fields, and rearrange or remove pages from your paperwork.
Get the Publix covid vaccine form completed. Download your updated document, export it to the cloud, print it from the editor, or share it with other participants via a Shareable link or as an email attachment.

Benefit from DocHub, the most straightforward editor to rapidly manage your documentation online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

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

What is the new strain of the COVID shot?

Previous vaccines were formulated to target the XBB variant, which is no longer the predominant strain. The new vaccines use the same technology and manufacturing process, but they target the KP. 2 variant, the variant most strongly implicated in the recent surge of cases.

What is the name of the newest COVID shot?

Moderna. The FDA granted the Moderna vaccine (brand name: Spikevax) full approval for people 18 and older in January 2022, upgrading the vaccines EUA, which was granted in December 2020 (a week after Pfizer-BioNTech).

What are the side effects of the 5th COVID vaccine?

The most common reported reactions are: pain, redness or swelling at the injection site. feeling tired or fatigued. headache. muscle aches or joint pains. chills. dizziness. swollen lymph nodes. nausea.

Try more PDF tools