Flu Shot Template

Flu Shot Template - Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu. 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. The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. Is the person to be vaccinated sick today or had a fever of greater than 100.4°f in the last 24.

Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu. 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. The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. Is the person to be vaccinated sick today or had a fever of greater than 100.4°f in the last 24.

Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu. Is the person to be vaccinated sick today or had a fever of greater than 100.4°f in the last 24. The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. 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.

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The Information You Provide To Complete This Form Indicates You Understand The Benefits And Risks Of Receiving The Influenza Vaccine, As Indicated In.

Is the person to be vaccinated sick today or had a fever of greater than 100.4°f in the last 24. Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu. 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.

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