Flu Vaccination Consent Form
If you do not want your child to receive the vaccination it is important to complete the refusal section on the form
Registration
Please enter your email address and the code provided by your school. Then press 'Find School'. It is important that you enter the correct email address as future correspondence will be emailed to you about your child's vaccination.
After you have finished, if you change your mind or need to tell us about changes to your child’s medical history, do not complete another consent form. Please visit
www.leedsimmunisations.co.uk/Contact
to contact the immunisation team and tell us about any changes.
Email address
Confirm email address
School code
School name
You can read our fair processing policy here:
www.leedscommunityhealthcare.nhs.uk