Get Tx Hisd No-cost Flu Shot (iiv) Vaccine Consent Form 2018-2025

Completing the TX HISD No-Cost Flu Shot (IIV) Vaccine Consent Form online is a straightforward process that ensures your child receives a necessary vaccination at no cost. This guide outlines each step clearly to help you fill out the form accurately.

Follow the steps to fill out the vaccine consent form online.

1. Press the ‘Get Form’ button to retrieve the TX HISD No-Cost Flu Shot Vaccine Consent Form and open it on your device.
2. Begin by entering the student information. Fill in the last name, first name, middle initial, suffix, address, birth date, age, sex, name of school, grade, homeroom, city, state, and zip code. Ensure all details are accurate and legible.
3. Provide the demographic information by selecting the appropriate category that describes your child.
4. In the parent/guardian information section, fill out your last name, first name, middle initial, suffix, email address, home phone number, relationship to the student, and cell phone number.
5. Complete the required health insurance information. Indicate whether your child has private insurance, Medicaid, or no insurance. If applicable, include the insurance company name, member ID, policy holder’s name, and their date of birth.
6. Address the medical questions by checking the appropriate boxes regarding your child's age and any medical conditions or past reactions to vaccines.
7. Read the permission section carefully. Confirm you understand the CDC Vaccine Information Statement and give your permission for the administration of the vaccine by signing your printed name and providing the date.
8. Finally, review all entered information for accuracy. You can now save your changes, download, print, or share the completed form as needed.

Complete the TX HISD No-Cost Flu Shot Vaccine Consent Form online to ensure your child's vaccination is processed smoothly.