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Influenza Immunization Informed Consent - Employee

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$36.20
SKU: 7123S-F25
$36.20

IN STOCK NOW: 2025-2026 SEASONAL UPDATES!

Use this form to document that the:

influenza vaccine was offered to the employee
required education about the vaccine was provided to the employee
employee consented to or declined the vaccine

Download Sample!

Don’t forget to order Alcohol Prep Pads!

Size: 8 ½" x 11"

Print: 2 sides, black ink

Punching: 5 holes top and side

Packaging: 100 per pad

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