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Immunization Consent Form - Cabot Public Schools 2026
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- Click ‘Get Form’ to open the Immunization Consent Form in the editor.
- Begin by filling in the 'Person Receiving Vaccine' section. Enter the legal first name, middle initial, last name, and date of birth.
- Complete the 'Medical History' section by answering the questions regarding previous vaccine reactions and health conditions. Select 'Yes' or 'No' for each question.
- Indicate your preference for the type of flu vaccine (Flu Shot, Flu Mist, No Preference) if applicable.
- In the 'Release and Assignment' section, read through the information provided. Sign and date where indicated to confirm your understanding and consent.
- Fill out the 'Patient Information' section with details such as phone number, address, race, and insurance status.
- Finally, review all entries for accuracy before saving or submitting your completed form.
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