Printable Flu Shot Form

Printable Flu Shot Form - Understand the risks and benefits associated with the influenza vaccine and have had any questions. I hereby consent to the administration of the flu vaccine for which i have signed below be given to. I consent to receiving the seasonal. Ask questions and have had them answered to my satisfaction. Walgreens will send vaccination information from this visit to your doctor/primary care provider. Consent form for seasonal influenza (flu) vaccine i have read or have had explained to me.

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I consent to receiving the seasonal. Walgreens will send vaccination information from this visit to your doctor/primary care provider. 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. Consent form for seasonal influenza (flu) vaccine i have read or have had explained to me. Understand the risks and benefits associated with the influenza vaccine and have had any questions.

I Consent To Receiving The Seasonal.

Ask questions and have had them answered to my satisfaction. Understand the risks and benefits associated with the influenza vaccine and have had any questions. I hereby consent to the administration of the flu vaccine for which i have signed below be given to. Consent form for seasonal influenza (flu) vaccine i have read or have had explained to me.

Walgreens Will Send Vaccination Information From This Visit To Your Doctor/Primary Care Provider.

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