PFIZER COVID Vaccine Consent Form 2025

1. Click ‘Get Form’ to open the PFIZER COVID Vaccine Consent Form in the editor.
2. Begin by filling out Section 1: PERSONAL INFORMATION. Enter your last name, first name, date of birth, age, address, city, state, zip code, guardian's name (if applicable), guardian's date of birth, and relationship to the patient.
3. In Section 2: CONSENT TO RECEIVE THE COVID-19 VACCINE, initial your consent and confirm that you have read the provided information regarding the vaccine. If you are a minor, ensure a parent or legal guardian initials this section.
4. Proceed to Section 3: Vaccination Screening Questions. Answer each question by selecting YES, NO, or DON’T KNOW as appropriate. Make sure to check all relevant boxes regarding your medical history.
5. If applicable, complete Section 4 for additional COVID-19 vaccine questions. Indicate any relevant medical treatments or conditions that may affect your vaccination eligibility.

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