Flu Form

Due Date: End of Week 3

  • EVERYONE must fill out and sign this form - this tells the hospital you got your flu shot and don't want them to give you one during clinicals
  • You must get a flu shot unless you have a documented allergy or other medical condition.  This is a requirement for clinicals.
  • Download the Download Flu Form and save it.
  • Open the saved file
  • Type your information into the form and print it
  • Add the form to Checklist 3 in the order shown on the checklist