Summer is here, and so is the sale. Get a yearly plan with up to 65% off today! 🌴🌞

Flu Vaccine Consent Form

The flu (influenza) vaccine consent form is a document that gives consent to a medical institution to administer a flu vaccine to a patient. Although this form is not mandatory, some health institutions may ask their patients to fill out the form. If you want to prepare it for your health institution free of charge, start by using the flu vaccine consent form template.

Flu Vaccine Consent Form


What is a flu vaccine consent form?

A flu vaccine consent form is a type of document to obtain consent from patients before the vaccination procedure. Healthcare organizations and centers for disease control can prepare, edit and customize this form free and online on Finally, they can share it with the relevant person, the patient, or, in the case of a minor, with a parent or legal guardian.

How to create a flu vaccine consent form? 

Thanks to online form creation tools today, you can easily create forms without wasting too much time. Although is only one of these online survey tools, it provides you with many template opportunities with the free service it provides, allowing you to make a quick start. If you follow the steps below, you can easily create your flu vaccine consent form:

  1. Click on "use template" above to open this free form sample
  2. Edit your form on the showing page, add a title, and give information about the consent form and your institution
  3. Design your form; healthcare institutions often choose a simple form design
  4. Share your form from the Share page

Why use a flu vaccine consent form?

In today's world, the number of consent forms has increased considerably. Persons, institutions, and businesses are required to have these forms signed by the relevant person in order to make a legal waiver in cases that may adversely affect the person. On the other hand, with the questions asked, the patient's medical history can be learned and be decided whether the vaccine can be administered or not.

  • Online forms are easy to use and share: You can easily use the form fields by dragging, adding, or deleting them on the form edit page, and share your form with its link or embed it on your website on the form share page.
  • Mistreatment can be prevented: You can decide whether the patient can have a flu vaccine with the patient's story given to you.
  • Legally secures both parties: Words fly away, writing remains. If there is a document approved by both parties, legally one party cannot complain about what happened to the other party.

Essential elements on a flu vaccine consent form

You’ll require to include several items in your flu vaccine consent form for it to be explicit and complete. But if you are using's free template, you don't have to worry about it because we have prepared all the necessary parts for you. What should be in a flu vaccine consent form is as follows:

  • Personal information and contact information of the patient
  • Information about the flu vaccine consent form or your health institution
  • A place for the signature or a tickable box to give consent
  • A question asking the patient if they have any allergic reaction to vaccines or some other ingredients
  • Completion or submission date of the Consent form

Informed consent is the process of obtaining consent from a second party after explaining to them the risks and possibilities involved with the action they are consenting to. Health-care providers and researchers often use an informed consent form to get consent before they start a medical operation or research.

Getting online consent is not substantially different than getting consent with papers. In both cases, you have to present all the necessary information to your respondents, and they need to sign, check, or state that they give you their consent to start the procedure. Here are 3 ways you can obtain consent with online forms:

  • Collect e-signatures
  • Add a terms & conditions field
  • Ask for a written statement

While consent and waiver are often used interchangeably, they have different meanings. A waiver is a consent document used for relinquishing one’s rights or claims, whereas consent is a document used for giving permission to an action or activity that the person will be subjected to.

For example, you have to obtain consent when collecting, processing, and storing personal data. However, you have to request a waiver during IRB applications and research. Human subjects sign a waiver document and state that they have been told of potential adverse effects of the research and will not hold responsible the researchers for any injury. Waivers can also be used for medical treatments or extreme activities. 

You need a way to inform people and obtain their consent, and online forms are the ideal tool for this job because you can collect data and obtain consent at the same time. As a powerful form builder, has all the features you need and provide consent form templates to get you started easily. Here are steps you can follow to create your own consent form:

  1. Select a template or create a new form
  2. Add questions for information you want to collect
  3. Use the explanation or terms & conditions fields to inform your respondents
  4. Optionally add a signature field to obtain e-signatures
  5. Share your form or embed it on your website