Home
Forms Library
Kroger vaccine consent form

Kroger flu shot form 2025

kroger vaccine consent form Preview on Page 1

See details

4.8 out of 5

123 votes

The document consists of consent forms for two types of influenza vaccines: FluMist (intranasal) and injectable adult flu vaccine (IIV) for individuals aged 19 years and older. It includes a series of health-related questions to assess eligibility for vaccination, information on potential allergic reactions, and the importance of discussing any concerns with a healthcare provider. The document emphasizes the need for informed consent and provides space for signatures from both the patient and administering staff.

Here's how it works

01. Edit your kroger 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 kroger flu shot via email, link, or fax. You can also download it, export it or print it out.

How to modify Kroger flu shot form in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Handling paperwork with our extensive and intuitive PDF editor is easy. Follow the instructions below to fill out Kroger flu shot form online easily and quickly:

Log in to your account. Sign up with your email and password or register a free account to try the service before upgrading the subscription.
Upload 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 Kroger flu shot form. Effortlessly add and highlight text, insert images, checkmarks, and icons, drop new fillable areas, and rearrange or delete pages from your document.
Get the Kroger flu shot form completed. Download your modified document, export it to the cloud, print it from the editor, or share it with other participants through a Shareable link or as an email attachment.

Benefit from DocHub, one of the most easy-to-use editors to promptly manage your documentation online!

See more kroger flu shot form versions

We've got more versions of the kroger flu shot form form. Select the right kroger flu shot form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (123 Votes)

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.

Is it too late to get a flu vaccination?

It is never too late to get your vaccination since influenza can circulate in the community all year round.

When should you not get a flu shot?

Children younger than 6 months of age are too young to get a flu shot. People with severe, life-threatening allergies to any ingredient in a flu vaccine (other than egg proteins) should not get that vaccine. This might include gelatin, antibiotics, or other ingredients.

How late are flu shots given?

Its still flu season well into spring. Even then its not too late for you and your family to get the flu vaccine. Many health care providers give flu vaccines through May if the flu virus is still circulating.

Is it too late to get a flu shot?

With Marketplace health insurance, immunizations are a covered preventive care benefit. Your flu shot is free from a provider in your plans network. Its easy. You can get the flu shot at many locations, like pharmacies and grocery stores.

How come flu shots are free?

You can get the free NHS flu vaccine if you: are aged 65 or over (including those who will be 65 by 31 March 2025) have certain long-term health conditions. are pregnant.

kroger walk in flu shot

Kroger flu shot free Kroger flu shot appointment Kroger flu shot cost without insurance Kroger flu shot price kroger vaccine walk-in Kroger flu shot coupon Kroger vaccine coupon Walgreens flu shot

Key Facts About the FluMist and Injectable Adult Vaccine Consent Forms

Eligibility Age

Vaccine Types

Health Screening Questions

Allergic Reactions

Guillian Barré Syndrome (GBS)

Consent Requirement

Preventive Care Benefit

Eligibility Age

The consent forms are intended for individuals aged 19 years and older.

Vaccine Types

The document covers two types of influenza vaccines: FluMist (Intranasal) and Injectable Adult Flu Vaccine (IIV).

Health Screening Questions

Individuals must answer a series of health screening questions to determine eligibility for vaccination.

Allergic Reactions

The forms inquire about previous serious allergic reactions to vaccines or vaccine components, including egg allergies.

Guillian Barré Syndrome (GBS)

Individuals with a history of Guillian Barré Syndrome are advised to consult their healthcare provider before vaccination.

Consent Requirement

A signature is required from the person authorized to give consent, indicating understanding of the vaccine's benefits and risks.

Preventive Care Benefit

The flu vaccine is part of preventive care benefits, and any cost share will be billed accordingly.

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

When is the best time to get a flu shot?

If you skipped your flu shot this fall, doctors say its not too late to get one now. Usually, youll get some protection within a week to 10 days, and were not through the flu season yet, Furr says. While flu activity tends to peak in February, cases can continue through March and April.

Kroger flu shot form 2025

Here's how it works

How to modify Kroger flu shot form in PDF format online

See more kroger flu shot form versions

Complete this form in 5 minutes or less

Got questions?

Is it too late to get a flu vaccination?

When should you not get a flu shot?

How late are flu shots given?

Is it too late to get a flu shot?

How come flu shots are free?

Key Facts About the FluMist and Injectable Adult Vaccine Consent Forms

Eligibility Age

Vaccine Types

Health Screening Questions

Allergic Reactions

Guillian Barré Syndrome (GBS)

Consent Requirement

Preventive Care Benefit

Eligibility Age

Vaccine Types

Health Screening Questions

Allergic Reactions

Guillian Barré Syndrome (GBS)

Consent Requirement

Preventive Care Benefit

Complete this form in 5 minutes or less

People also ask

When is the best time to get a flu shot?

kroger flu vaccine walk in

Try more PDF tools