The FastFlu clinic will be on Saturday, November 2nd, 2019 from 8am - 12pm. For further information on the vaccines, please see the Vaccine Information Sheets found under Resources on our website.
Please correct the errors described below.
I have read the 2019-2020 Vaccine Information Sheet for the seasonal influenza vaccine. I understand the risks and benefits. I can give legal consent to Dr. Anne Georgulas and her staff for the Patient named in the Family Information section of this form. I give consent for Dr. Anne and her staff to vaccinate the Patient.
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