Pre-Consultation Covid 19 Primary Vaccination Form

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I have answered all the questions above in a truthful and accurate manner.
I acknowledge verbal consent will be given on the day of vaccination should I wish to proceed with vaccination once all my queries have been answered satisfactorily and the vaccinating pharmacist deems it safe to give you a Covid booster dose once all the answered queries given are accurate. I also agree to wait in a designated area for at least 15 minutes post vaccination near the pharmacy for observation purposes.