Childhood Vaccination Appointments (including Nasal Flu)

When a parent or legal guardian will not be in attendance at a child’s appointment for vaccination(s), including the nasal flu vaccine, written consent from a parent/legal guardian is required.

Please complete our parental consent form, indicating which vaccines you consent for our team to administer, to present to the Nurse at the time of your child’s appointment. 

Childhood Vaccination – Parental Consent Form

If you do not have printing facilities, forms can be obtained from our reception team.

You only need to complete this form if a parent/legal guardian will not be in attendance at the time of the appointment.