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Influenza vaccine consent form patient’s name: Consent form for seasonal influenza (flu) vaccine i have read or have had explained to me the information about influenza and influenza. I understand the risks and benefits associated with the influenza vaccine and have had any questions satisfactorily answered. I have had the opportunity t ask questions and have had them answered to..
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Consent form for seasonal influenza (flu) vaccine i have read or have had explained to me the information about influenza and influenza. Have you ever had a life threatening allergy to any component (or part) of the flu or pneumonia vaccine? The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza.
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Me) and i understand the “influenza vaccine fact sheet”. I understand the risks and benefits associated with the influenza vaccine and have had any questions satisfactorily answered. Consent form for seasonal influenza (flu) vaccine i have read or have had explained to me the information about influenza and influenza. Have you ever had a life threatening allergy to any component.
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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. I understand the risks and benefits associated with the influenza vaccine and have had any questions satisfactorily answered. I have had the opportunity t ask questions and have had them answered to. Consent form for seasonal influenza.
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Have you ever had a life threatening allergy to any component (or part) of the flu or pneumonia vaccine? I have had the opportunity t ask questions and have had them answered to. Influenza vaccine consent form patient’s name: Me) and i understand the “influenza vaccine fact sheet”. I understand the risks and benefits associated with the influenza vaccine and.
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Have You Ever Had An Allergic Reaction To Flu Vaccine?
Me) and i understand the “influenza vaccine fact sheet”. Influenza vaccine consent form patient’s name: Consent form for seasonal influenza (flu) vaccine i have read or have had explained to me the information about influenza and influenza. I understand the risks and benefits associated with the influenza vaccine and have had any questions satisfactorily answered.
Have You Ever Had A Life Threatening Allergy To Any Component (Or Part) Of The Flu Or Pneumonia Vaccine?
I have had the opportunity t ask questions and have had them answered to. The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in.








