Influenza Vaccination Consent Form: Key Facts for Patients
At Kearns Medical Centre, we always put patient safety and informed care first. Prior to undergoing the flu vaccine, it is essential that all patients fill out the Flu Vaccine Consent Form.

This enables our medical team to examine your medical and vaccination histories, current medication and any known allergies and reactions to vaccinations. This ensures that the flu vaccination is safe and suited for you, even when you use Mirena.
If you already have the Mirena coil or thinking of having the Mirena, it’s essential that this is stated on the consent form. This will enable the medical professionals involved to advise and reassure you. If you have Mirena, you can have the flu jab, but it’s essential that the communication channels are good so that the best service can be delivered.
Filling out the consent form prior to your appointment saves time and makes for an easy appointment. Do you have questions about the flu shot, the consent form, or Mirena? The friendly staff at our medical office is always happy to assist you.
