Form

COVID-19 vaccination: consent form and letter for healthcare workers

Coronavirus (COVID-19) vaccination consent form and letter templates for healthcare workers.

• From: Public Health England
• Published: 7 December 2020
• Last updated: 21 January 2021 — See all updates

Documents

COVID-19 vaccination consent form for healthcare workers (open source version)

ODT, 43.6 KB

This file is in an OpenDocument format

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COVID-19 vaccination consent form for healthcare workers (MS Word version)

MS Word Document, 182 KB

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COVID-19 vaccination consent form for healthcare workers (PDF version)

Ref: PHE gateway number 2020345

PDF, 90.7 KB, 1 page

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COVID-19 vaccination consent form letter for healthcare workers (open source version)

ODT, 191 KB

This file is in an OpenDocument format

This file may not be suitable for users of assistive technology.

Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email [email protected]. Please tell us what format you need. It will help us if you say what assistive technology you use.

COVID-19 vaccination consent form letter for healthcare workers (MS Word version)

MS Word Document, 208 KB

This file may not be suitable for users of assistive technology.

Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email [email protected]. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

The COVID-19 consent form letter templates are available in different software versions and can be downloaded and adapted to suit the needs of local healthcare teams.

Copies of the healthcare worker consent form are available to order using product code COV2020345V2.

Health publications orderline

Immunisation Publications
UK Health Security Agency, 61 Colindale Avenue, Colindale
London
NW9 5EQ

Contact form https://www.healthpubl...

Telephone: 0300 123 1002

Copies of printed publications and the full range of digital resources to support the immunisation programmes can now be ordered and downloaded online. Log in to register and place your order.

Published 7 December 2020
Last updated 21 January 2021 + show all updates

1. 21 January 2021

   Updated consent form.

2. 17 December 2020

   Added open source and MS Word versions of consent form.

3. 7 December 2020

   First published.