Flu Nasal Spray Vaccine 2-17 Years

FLU NASAL SPRAY VACCINE AGES 2 - 17 YEARS CONSENT FORM

We are now offering the Nasal Influenza (LAIV) Spray for ages 2 - 17 Years in Rosscarbery Pharmacy 

 

If you or your child are under the age of 17 and have NOT yet received a Flu nasal spray, please contact us by phone (083-4397126) to be added to our waiting list.

ONCE YOU HAVE AN APPOINTMENT CONFIRMED BY A MEMBER OF STAFF, you can fill out the below consent form. This form only applies for the under 17 age category. There is a separate form for the over 18 age category. Please do not fill out the form unless you have a confirmed appointment as this will be null and void.

Before you fill out the consent form, please read the patient information leaflet

HSE Flu Vaccine For Children Information 

Fluenz Tetra nasal spray suspension & Ingredients 

 

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