Consent
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Consent form Please read and accept the information below before we can continue to the form

This e-consent link is for YES to "consent" or NO to "do not consent" for the recommended Flu vaccine for your child, as explained in your letter.

The consent form is for one of the vaccines below. 

**PLEASE NOTE** - Nasal Flu vaccine is the recommend vaccine.

 

Nasal Spray Flu Vaccine (recommended)

Fluenz® nasal spray Patient Information Leaflet (PIL)

                             

THE NASAL SPRAY FLU VACCINATION IS MOST EFFECTIVE IN PREVENTING FLU IN CHILDREN AND RECOMMENDED BY THE NHS   

        OR

Injectable Flu vaccine (Gelatine free option)

Cell-based flu injection Patient Information Leaflet (PIL)

                                 

IF YOUR CHILD CANNOT HAVE THE NASAL FLU VACCINE DUE TO RELIGIOUS BELIEFS OR DIETARY OR MEDICAL REASONS THEN THIS IS THE  ONLY OTHER VACCINE AVAILABLE 

Click here for more information on:

  • ALL SCHOOL AGE VACCINATIONS
  • ADVICE FOLLOWING VACCINATION
  • DATA SHARING
  • CONSENT INFORMATION
  • PORCINE GELATINE  

You can contact your child’s Immunisation team if you have any questions or need help completing the form.

Coventry schools: Tel: 024 76 961422 Email: Bewise.Immunise@covwarkpt.nhs.uk

South Warwickshire schools: Tel: 01926 353899 Email: SOUTHIMMS@covwarkpt.nhs.uk  

North Warwickshire schools Tel: 02476 321550 Email: NORTHIMMS@covwarkpt.nhs.uk

 

By clicking continue, you are agreeing to the terms set out above