Influenza Immunization Informed Consent - DIGITAL FORM
Electronically Delivered eForm* - Subscribe Today!
The advantages of Briggs Digital on Demand forms:
| • | Updates included with annual subscription* |
| • | Form-fillable PDF documents at your fingertips |
| • | Easy to complete on any device; or print when you need them |
| • | No shipping charges or delivery delays |
| • | Never on back order |
NOW AVAILABLE - UPDATED FOR 2025-2026 SEASON!
Use this form to document that:
| • | the influenza vaccine was offered to the patient/resident |
| • | the required education about the vaccine was provided to the patient/resident (or their representative) |
| • | the patient/resident (or their representative) consented to or declined the vaccine |
Don’t forget to order Alcohol Prep Pads!
Download a sample today!License Agreement
Send completed License Agreements toNetSuite.DataServices@BriggsCorp.com
*SUBSCRIPTION: Form access is licensed for 1-year per agency/facility location. Multiple sites require a quote. This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment) and provide the facility/agency address. After 1- year, your subscription will automatically renew.
All Briggs Digital on Demand products require a credit card payment (or pre-payment) to receive digital files electronically.
Briggs Healthcare does not allow use of any of its intellectual property without a valid license and payment of fees.
Delivery: Digital* form-fillable PDF
Digital/electronic merchandise & subscriptions: all digital and electronic products and subscriptions are non-refundable and non-returnable.
*SUBSCRIPTION: Form access is licensed for 1-year per agency/facility location. Multiple sites require a quote. This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment) and provide the facility/agency address. After 1- year, your subscription will automatically renew.
All Briggs Digital on Demand products require a credit card payment(or pre-payment) to receive digital files electronically.
Briggs Healthcare does not allow use of any of its intellectual property without a valid license and payment of fees.