ELECTRONIC CONSENT FOR STOKE PRIMARY

Dear Parent / Guardian
Your child’s annual flu vaccination is now due for years Reception to Year 6

THE ABOVE LINK FOR YOUR SCHOOL WILL CLOSE ON:
25TH NOVEMBER 2021

Please note if you have more than 1 child at the school you will need to complete a separate form for each child by clicking on the link again.

Once you click Submit you will receive a unique submission number to confirm your e-consent form has been received. Please make a note of this number before closing your internet browser in case you have a query.

The vaccination against flu is annual, which means that even if your child received the vaccine last year they will need to have it again this year to be protected.

Vaccinating your child will also help protect more vulnerable friends and family by preventing the spread of flu. The vaccination is a free, quick and simple spray up the nose.

The link above will give you access to:

• INFORMATION ABOUT THE FLU VACCINE (for the information in other languages, visit https://www.gov.uk/government/publications/flu-vaccination-leaflets-and-posters )

• A CONSENT FORM FOR YOUR CHILD

• INFORMATION OF WHO CAN GIVE CONSENT
• ADVICE FOLLOWING VACCINATION
• DATA SHARING – Our responsibility
• PORCINE GELATINE

.

PLEASE READ ALL OF THE INFORMATION ON THE LINKS BEFORE MOVING TO THE CONSENT DECLARATION LINK. BY SELECTING “CONTINUE” YOU WILL BE GUIDED TO THE ELECTRONIC CONSENT FORM WHICH REQUIRES COMPLETION TO ADVISE WHETHER YOU CONSENT OR WISH TO DECLINE A FLU VACCINATION FOR YOUR CHILD

If you decide you do not want your child vaccinated against flu, please indicate this on the consent form, giving the reason. This will help us plan for and improve the Flu vaccination programme. We will not vaccinate your child without valid consent in place.

If your child becomes wheezy or has their asthma medication increased after you SUBMITTED the ELECTRONIC consent form, please contact your childs immunisation Team on the number below.

If you change your mind change about consent after submitting a form, please DO NOT complete another form as this results in duplicates and can delay vaccination due to mismatching of information. We ask that you instead email your childs immunisation team (email address below) with the following

• Your child’s full name / Your child’s Date Of Birth / Your child’s school.
• Consent decision/status that is already submitted and the reason for change

If you have any queries please contact your childs Vaccination team.
Coventry schools: Tel: 024 76 961422

Email: Bewise.Immunise@covwarkpt.nhs.uk

South Warwickshire schools: Tel: 01926 353899

Email: SOUTHIMMS@covwarkpt.nhs.uk

North Warwickshire schools Tel: 02476 321550

Email: NORTHIMMS@covwarkpt.nhs.uk

Yours faithfully
Coventry & Warwickshire School Aged Immunisation Service

Jagtar Singh OBE - Chair
Melanie Coombes MBE - Chief Executive

Coventry and Warwickshire Partnership NHS Trust
Wayside House, Wilsons Lane, Coventry, CV6 6NY
Tel: 024 7636 2100 Fax: 024 7636 8949