Printable Flu Shot Form

Printable Flu Shot Form - Consent form for seasonal influenza (flu) vaccine i have read or have had explained to me. Understand the risks and benefits associated with the influenza vaccine and have had any questions. I hereby consent to the administration of the flu vaccine for which i have signed below be given to. Ask questions and have had them answered to my satisfaction. I consent to receiving the seasonal. Walgreens will send vaccination information from this visit to your doctor/primary care provider.

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Walgreens will send vaccination information from this visit to your doctor/primary care provider. Consent form for seasonal influenza (flu) vaccine i have read or have had explained to me. I hereby consent to the administration of the flu vaccine for which i have signed below be given to. I consent to receiving the seasonal. Ask questions and have had them answered to my satisfaction. Understand the risks and benefits associated with the influenza vaccine and have had any questions.

Walgreens Will Send Vaccination Information From This Visit To Your Doctor/Primary Care Provider.

I consent to receiving the seasonal. Consent form for seasonal influenza (flu) vaccine i have read or have had explained to me. I hereby consent to the administration of the flu vaccine for which i have signed below be given to. Ask questions and have had them answered to my satisfaction.

Understand The Risks And Benefits Associated With The Influenza Vaccine And Have Had Any Questions.

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