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☐ i consent on behalf of the patient to receive the influenza vaccine today print name. In addition, i am aware that the. Consent form for seasonal influenza (flu) vaccine i have read or have had explained to. I consent to receiving the seasonal influenza vaccine. A flu shot (influenza) vaccine consent form is a written authorization that.
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I Consent To Receiving The Seasonal Influenza Vaccine.
☐ i consent on behalf of the patient to receive the influenza vaccine today print name. Flu vaccine form patient name: A flu shot (influenza) vaccine consent form is a written authorization that. In addition, i am aware that the.
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.