Flu consent 2021 2022-2026

1. Click ‘Get Form’ to open the flu consent 2021 2022 in the editor.
2. Begin by filling out the 'Student Information' section. Enter your child's last name, first name, middle initial, suffix, address, birth date, age, sex, school name, grade, homeroom, city, state, and zip code. Ensure all fields are completed legibly.
3. Next, move to the 'Demographic Information' section. Circle the appropriate demographic category that applies to your child.
4. In the 'Parent/Guardian Information' section, provide your last name, first name, middle initial, suffix, email address, home phone number, relationship to student, and cell phone number.
5. Complete the 'Required Health Insurance Information' by checking one of the options provided and filling in your insurance details if applicable.
6. Proceed to the 'Medical Information' section. Answer questions regarding your child's health status and allergies accurately.
7. Finally, review all information for accuracy before signing and dating at the bottom of the form. This ensures that you give permission for your child to receive a no-cost flu shot.

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