Rexall consent flu 2026

1. Click ‘Get Form’ to open the rexall consent flu document in the editor.
2. Begin by entering your Provincial Health Number, Name, Address, City, Phone, Email, and Postal Code in the designated fields.
3. Indicate your gender by selecting either Male or Female and provide your Date of Birth (MM/DD/YYYY) and Age.
4. Fill in the Child’s Weight in Kg and lb if applicable. Then, provide an Emergency Contact Name and Phone Number.
5. Answer the Flu Vaccine Screening questions honestly by selecting 'Yes' or 'No' for each question to ensure eligibility.
6. In the Consent section, confirm your understanding of the flu shot information and indicate whether you consent for yourself or your child.
7. Sign and date the form at the bottom. Ensure that all required fields are completed before submission.

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