Printable Flu Shot Form

Printable Flu Shot Form - Have you ever had a flu shot before? I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am. Have you ever had a life threatening allergy to any component (or part) of the flu or pneumonia vaccine? Ask questions and have had them answered to my satisfaction. Have you received any vaccinations in the last 6 weeks? I consent to receiving the seasonal influenza vaccine. In addition, i am aware that.

Have you ever had a life threatening allergy to any component (or part) of the flu or pneumonia vaccine? Have you received any vaccinations in the last 6 weeks? Have you ever had a flu shot before? I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am. I consent to receiving the seasonal influenza vaccine. Ask questions and have had them answered to my satisfaction. In addition, i am aware that.

In addition, i am aware that. Have you received any vaccinations in the last 6 weeks? Have you ever had a flu shot before? Ask questions and have had them answered to my satisfaction. I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am. Have you ever had a life threatening allergy to any component (or part) of the flu or pneumonia vaccine? I consent to receiving the seasonal influenza vaccine.

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Have You Ever Had A Flu Shot Before?

I consent to receiving the seasonal influenza vaccine. Have you ever had a life threatening allergy to any component (or part) of the flu or pneumonia vaccine? I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am. In addition, i am aware that.

Ask Questions And Have Had Them Answered To My Satisfaction.

Have you received any vaccinations in the last 6 weeks?

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