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14 April 2021

Coronavirus (COVID-19) health alert

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COVID-19 vaccination – Consent form for COVID-19 vaccination

A patient consent form for COVID-19 vaccination.

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Downloads

COVID-19 vaccination – Consent form

Download COVID-19 vaccination – Consent form for COVID-19 vaccination as PDF - 555 KB, 4 pages
Download COVID-19 vaccination – Consent form for COVID-19 vaccination as Word - 456 KB, 4 pages

COVID-19 vaccination – Consent form – Print-friendly

Download COVID-19 vaccination – Consent form for COVID-19 vaccination as PDF - 221 KB, 4 pages
Download COVID-19 vaccination – Consent form for COVID-19 vaccination as Word - 284 KB, 4 pages

We aim to provide documents in an accessible format. If you're having problems using a document with your accessibility tools, please contact us for help.

Publication date: 
12 February 2021
Last updated: 
14 April 2021
Publication type: 
Form
Intended audience: 
General public
Translations: 
Available in other languages
Part of a collection: 
COVID-19 vaccination – Advice for COVID-19 vaccine providers, COVID-19 vaccination – Resource pack for residential aged care
Tags: 
  • Communicable diseases
  • Emergency health management
  • Immunisation
  • Coronavirus (COVID-19)
  • COVID-19 vaccines

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