Consent forms

   


 

A consent form from IMAC to provide the influenza vaccine in your pharmacy. Please note that either the IMAC consent form or the Green Cross Health consent form can be used.

A checklist and consent form provided by Green Cross Health for delivering the influenza vaccine. Please note that either the IMAC consent form or the Green Cross Health consent form can be used.

Pre-vaccination screening tool guidance provided by Green Cross Health. 

This form should be used in conjunction with the Influenza vaccination consent form to record a patient’s eligibility to receive a funded vaccine, where a patient is under 65.

If you've forgotten your password enter your email address in the field above and click “Forgot Password” to have it emailed to you. Forgot Password