Get Tetanus Consent Form

Filling out the Tetanus Consent Form online is an essential step to receive the Tetanus, Diphtheria, and Pertussis (Tdap) vaccine. This user-friendly guide provides clear instructions on how to navigate the form effectively, ensuring you provide all necessary information.

Follow the steps to complete the consent form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by reading the introductory section, which outlines the purpose of the vaccine and potential side effects. It is important to understand the risks and benefits before proceeding.
3. Complete the section titled 'Female Employees Only' if applicable. If you are female, confirm that you are not pregnant by signing in the designated space and adding the date.
4. In the 'Acceptance of the Vaccination' section, read and acknowledge the information about the vaccine. Print your name, sign the document, and date it to confirm your consent.
5. Fill in the details related to your vaccination, including the date of dose, lot number, expiration date, and site of administration by circling 'left upper arm' or 'right upper arm.'
6. If you choose to refuse the vaccination, complete the 'Refusal of Vaccination' section. Print your name, sign, and provide the date. Additionally, a witness must sign and date the refusal.
7. Once all applicable sections are completed, review the form for accuracy. Make any necessary changes.
8. Finally, save changes, and you will have options to download, print, or share the completed form for your records.

Complete your Tetanus Consent Form online today for a streamlined vaccination process.