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Get Walmart Flu Shot Consent Form 2020-2025
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How to fill out the Walmart Flu Shot Consent Form online
Completing the Walmart Flu Shot Consent Form online is a straightforward process that ensures you receive the necessary vaccinations safely. This guide provides clear, step-by-step instructions tailored to your needs, making it easy to navigate each section of the form.
Follow the steps to complete the Walmart Flu Shot Consent Form online.
- Press the ‘Get Form’ button to access the form and open it in your preferred editing tool.
- In Section A, enter your personal details, including your first name, last name, gender, race/ethnicity, date of birth, and mother's maiden name. Make sure to provide your current home address, city, state, zip code, and phone number.
- Indicate whether you have a primary care provider by selecting 'Yes' or 'No.' If you choose 'Yes,' fill in the name and address of your primary care provider.
- Select the vaccine you are requesting from the list provided, which includes options such as flu, pneumonia, or shingles.
- Proceed to Section B, where you will answer a series of questions to determine your eligibility for vaccination. Provide honest answers to each question regarding your health status and any allergies.
- Once you have completed Section B, read through Section C carefully. This section includes important consent information. Sign and date the form to acknowledge your understanding and agreement.
- Finally, review your completed form for accuracy. Once satisfied, save your changes. You may then choose to download, print, or share the form as needed.
Take the next step towards your health by completing the Walmart Flu Shot Consent Form online today.
Individuals may choose to decline the flu vaccine due to medical conditions, allergies, or personal beliefs. Understanding your reasons for opting out is important, and consulting with a healthcare professional may help clarify your decision. The Walmart Flu Shot Consent Form provides an opportunity to express any concerns or notes regarding your health history.
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