Sample Vaccine Consent Form

This Sample Vaccine Consent Form is an example of what the POD vaccine consent form will look like that will allow POD staff to administer the appropriate vaccine to an individual. This Sample Form is for training purposes only. In the event of a public health emergency please contact the Health District for the appropriate consent forms.

Click the link below to download the Sample Consent Form:

Sample Vaccine Consent Form

Last modified on 05/07/2015