Free Influenza Vaccine Consent Form (Word, PDF)

An influenza vaccine consent form is the type of form used by the nurses and medical practitioners. They use this consent form to get authorization to administer the shot by the patient or parents/guardians in case the patient is a minor. This form consists of several questions that the practitioner will ask.

With the help of these questions, they will identify whether a patient should be exempt due to the chance of complications from the shot. The form also lists the risks, side effects, and benefits of receiving the shot. Before the form is signed, this should be gone over with the patient.

Furthermore, the main purpose of this document is to provide the patient the information they need to make an informed decision. The form also protects the practitioner from liability if complications arise.

Most states have made immunization vaccine mandatory for children before allowing to enter school. There are also some companies that need vaccinations to be up to date before hiring you. Consent must be given when it comes to the flu vaccine before administering the shot because of the side effects it may have. You can do this by using an influenza vaccine consent form. You may also like Dental Patient Consent Form.

What is influenza?

Influenza is basically a respiratory illness that is contagious. The main cause of influenza is influenza virus that can infect the throat, nose, and lungs. This disease may lead to death in the most severe cases. You can prevent yourself from it by having a flu shot every year. Moreover, it is also known as the flu.

What is the influenza vaccine?

The influenza vaccine prevents you against the infections that can be caused by the influenza virus. This virus changes rapidly. Therefore, new versions of the flu vaccine are developed twice a year.

Side effects of flu vaccination:

Before giving a flu shot, there are side effects that a patient needs to be made aware;

• Fever
• Headache
• At the area of the shot, redness or soreness
• Muscle aches
• Nausea

Other severe side effects that seek medical attention include the following;

• Having difficulty breathing
• Dizziness
• Hoarseness
• Hives
• Swelling
• Rapid heartbeat

Why written consent is essential?

For immunization, there are no Federal requirements that informed consent is required. But, each state has its own rules about flu shots. There was some concern over the fact that nurses could provide the shot with verbal consent or refusal alone. Also, it left the medical practice open to liability without written permission. Therefore, it is suggested that written informed consent be used. You should also check Surgical Consent Form.

Consent Form for Seasonal Influenza (flu) Vaccine

Fillable Influenza Vaccine Consent Form

Healthcare Provider Influenza Vaccine Consent Form

Influenza Immunization Consent Form

Influenza Vaccine Consent Form Template

On-Site Influenza Vaccine Consent Form

Seasonal Flu Shot Vaccine Consent Form

State of Michigan Influenza Vaccination Clinic Name Assessment Consent Form

Flu vaccination mandatory in the workplace:

In the workplace, flu vaccines are mandatory. In order to remain employed in the company, it is legal for an employer to require a flu shot. The flu is very contagious that can affect the whole workforce. They can have a negative influence on a business.

A business generally enforces a policy on getting flu shots. The healthcare industry is an example that has fired employees for refusing to have a flu jab. In addition, for being hired, getting a flu vaccination can also be a precondition. Some companies should pay for their employees to have a shot.

An employee has every right to refuse a flu shot but under law an employee being fired who is not vaccinated. This is because a company wants to have a workforce that has been vaccinated.

Sharing is caring!