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Form: COVID-19 vaccination: consent form and letter for adults

Public Health England

December 8
16:00 2020

COVID-19 vaccination consent form for adults who are able to consent

This file may not be suitable for users of assistive technology.

Request an accessible format.
If you use assistive technology (such as a screen reader) and need aversion of this document in a more accessible format, please email publications@phe.gov.uk.Please tell us what format you need. It will help us if you say what assistive technology you use.

COVID-19 vaccination consent form letter for adults who are able to consent (open source version)

This file is in an OpenDocument format

This file may not be suitable for users of assistive technology.

Request an accessible format.
If you use assistive technology (such as a screen reader) and need aversion of this document in a more accessible format, please email publications@phe.gov.uk.Please tell us what format you need. It will help us if you say what assistive technology you use.

COVID-19 vaccination consent form letter for adults who are able to consent (MS Word version)

This file may not be suitable for users of assistive technology.

Request an accessible format.
If you use assistive technology (such as a screen reader) and need aversion of this document in a more accessible format, please email publications@phe.gov.uk.Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

The coronavirus (COVID-19) vaccination consent form letter templates are available in different software versions and can be downloaded and adapted to suit the needs of local healthcare teams.

Copies of the adult consent form are available to order using product code COV2020376.

Health publications orderline

Immunisation Publications Department
Immunisation and Countermeasures
Public Health England
National Infection Service
61 Colindale Avenue
Colindale

London
NW9 5EQ

Copies of printed publications and the full range of digital resources to support the immunisation programmes can now be ordered and downloaded online. Log in to register and place

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