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FLU VACCINE CONSENT FORM 2013

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Free Flu Shot (Influenza) Vaccine Consent Form - PDF
Flu Shot (Influenza) Vaccine Consent Form. It should be signed by the patient, or, in the case of a minor, by a parent or legal guardian. This form includes a series of questions that can help to exclude patients who are at risk for complications and those who otherwise should not be vaccinated.[PDF]
Vaccine Consent Form - PicMed
I hereby consent to the administration of the vaccine. Furthermore, I hereby release and forever discharge for myself, my heirs, executors, administrators and assignees, PicMed of Oklahoma and their employees, owners and representatives, as well as the company
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