Printable Proof Of Flu Shot Form

Printable Proof Of Flu Shot Form - Consent form for seasonal influenza (flu) vaccine i have read or have had explained to. Have you ever had a life threatening allergy to any component (or part) of the flu or pneumonia. I hereby consent to the administration of the flu vaccine for which i have signed below be given.

Consent form for seasonal influenza (flu) vaccine i have read or have had explained to. I hereby consent to the administration of the flu vaccine for which i have signed below be given. Have you ever had a life threatening allergy to any component (or part) of the flu or pneumonia.

Have you ever had a life threatening allergy to any component (or part) of the flu or pneumonia. I hereby consent to the administration of the flu vaccine for which i have signed below be given. Consent form for seasonal influenza (flu) vaccine i have read or have had explained to.

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Consent Form For Seasonal Influenza (Flu) Vaccine I Have Read Or Have Had Explained To.

I hereby consent to the administration of the flu vaccine for which i have signed below be given. Have you ever had a life threatening allergy to any component (or part) of the flu or pneumonia.

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