Please do not take your child to your Doctor to have this vaccine if you are giving consent for them to have it in school.
Consent form for Unknown School (from September 2023)
please tell us about the child to be vaccinated
please tell us about the your child's GP
As Parent/Guardian we need the following information from yourself
It is important to give a valid phone and email to ensure your child receives the best care.
Please confirm the following important information about the immunisation
Please complete the final step to show you understand and consent to the immunisation
Please ensure you have confirmed that you understand and accept for your child to be immunised by checking the boxes above
It appears consent has already been recorded for this child, please contact the Immunisation Team on local rate 0333 358 3397. Our Nurse, Healthcare Assistants and Administrators are available Monday to Friday during working hours.
Some fields still require an input, please go back and check you've completed all required fields. Thank-you