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Pdf & word formatcreate legal documents Flu vaccine form patient name: I consent to receiving the seasonal influenza vaccine. It should be signed by the patient, or, in the case of a minor, by a parent or legal guardian.
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 the personal health information collected on this form may.








