If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email firstname.lastname@example.org.
Please tell us what format you need. It will help us if you say what assistive technology you use.
This form is for health professionals to give to parents, either by hand or by post, preferably with an accompanying information leaflet. It has been produced in a template format in response to requests for a single ‘generic’ consent form that can be adapted for use with any vaccine rather than having a lot of individual vaccine-specific forms.
This template can be downloaded and adapted on screen, with the name of the vaccine and other details inserted as appropriate. Alternatively, it can be printed out and annotated by hand and then photocopied if desired.