Home
Forms Library
Costco flu shot appointment

Costco flu shot 2025

costco flu shot appointment Preview on Page 1

See details

4.8 out of 5

65 votes

The document is an Immunization Consent Form that collects personal information from a patient, including medical history and potential contraindications for vaccination. It outlines precautions, possible adverse reactions to vaccines, and includes sections for administrative records and payment information. The form requires the patient's or legal guardian's signature to acknowledge understanding of the risks and benefits associated with vaccinations.

Here's how it works

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

How to use or fill out Costco Flu Shot with DocHub

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Costco Flu Shot Immunization Consent Form in our editor.
Begin by entering the patient's last name, first name, and middle initial in the designated fields. Ensure accuracy for proper identification.
Fill in the address, city, state, zip code, and a 10-digit phone number. This information is crucial for contact purposes.
Provide the Medicare ID number and birth date in the specified format (MM/DD/YYYY) to verify eligibility.
Complete the primary healthcare prescriber section by entering their name, address, and phone/fax number.
Indicate the vaccine requested and check 'yes' or 'no' for each precaution and contraindication question to assess health risks.
Review the adverse reactions section carefully. Acknowledge understanding by signing at the bottom of the form.

Start filling out your Costco Flu Shot form online for free today!

See more costco flu shot versions

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

Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (85 Votes)
2012	4.8 Satisfied (65 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.

How much is the flu vaccine this year?

FLU JABS NHS FREE JABS (PRIVATE FLU JAB PRICE 18.99)

What is the cost of influenza vaccine?

Inactivated Influenza Vaccine (INFLUVAC Tetra), ABBOTT, 0.5ml at ₹ 1200/piece in New Delhi.

What is the best month to get a flu shot?

Dr. Gordon advises getting it as soon as it becomes available in your area. Many healthcare providers begin offering the jab at the beginning of September. In an ideal world, you want to receive the injection by the end of October, at the latest, so the antibodies have kicked in by the start of flu season.

How much does the flu shot typically cost?

Without insurance, typical prices for older adult flu vaccines range between $50 and $75 , depending on the vaccine type. You can ask your doctor about getting the flu shot during an office visit. Some pharmacies and hospitals in your community may provide vaccinations.

How much is the cost of an influenza vaccine?

Travel vaccinations VaccineWalk-in price (per dose)Package price (available at Esplanade MRT, Ang Mo Kio Bedok clinics Hepatitis A (adult) $100 $100 $138 (for 2 doses) Hepatitis B* $55 $55 $142 (for 3 doses) Hepatitis A B $128 $128 $298 (for 3 doses) Influenza $43.50 $2810 more rows

flu shot costco

Costco flu shot appointment Costco flu shot walk in Costco vaccine appointments Costco vaccine prices Costco vaccine schedule Costco COVID vaccine appointments Costco Pharmacy Costco flu shot price

How much will a flu jab cost?

Flu Jabs - NHS Free Jabs (Private Flu Jab Price 18.99)

What is the cost of a flu injection?

The cost of the flu vaccination is $25.95. Can I get the flu vaccine for free? The Australian Governments National Immunisation Program provides a free flu vaccine to eligible people, including: People who are 65 years of age and over.

How much do flu shots cost in the US?

For people who dont have health insurance, the flu vaccine can range from about $20 to $120 out of pocket, depending on where you go and the kind of flu shot you get. The three flu vaccines recommended for adults age 65 and older are more expensive than those recommended for younger people.