Vaccine Informed Consent
YOU MUST:
- Answer all the questions and complete every section of the consent form.
- Submit one form for each patient.
If any of the following questions are not clear, please ask your health care provider for assistance.
We ask that a parent or guardian accompany all minors to their vaccination.
TIME TO COMPLETE:
5 to 10 minutes.
TIME TO PROCESS:
15 to 20 minutes.
DOCUMENTS TO UPLOAD:
Please have your insurance card and Medicare Part B red, white, blue card (if Medicare recipient) ready to upload.