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COVID-19 vaccination – Consent form

ATAGI has provided new advice regarding the AstraZeneca vaccine, and this content is currently being updated. Please read the statement, and check back later for updated content.

Download COVID-19 vaccination – Consent form for COVID-19 vaccination: COVID-19 vaccination – Consent form as PDF - 566 KB, 5 pages
Download COVID-19 vaccination – Consent form for COVID-19 vaccination: COVID-19 vaccination – Consent form as Word - 466 KB, 5 pages

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Publication date: 
25 May 2021
Last updated: 
23 July 2021
Publication type: 
Form
Intended audience: 
General public
Description: 

This consent form is an example for vaccination providers to obtain patient consent prior to COVID-19 vaccination. Use of this consent form is not mandatory. The Word version of this form can also be adapted for the unique requirements of providers. However, Australian Government branding and COVID-19 Vaccination branding must be removed.

Part of a collection: 
COVID-19 vaccination – Advice for COVID-19 vaccine providers, COVID-19 vaccination – Resource pack for residential aged care, COVID-19 vaccination – Provider resources
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