COVID-19 Vaccination Acknowledgment

About this template

Make sure your vaccination site or medical practice is running smoothly with Jotform Sign’s COVID-19 Vaccination Acknowledgement form. Gather patient consent forms before each vaccine appointment to ensure that they’ve given their consent and are informed. Document necessary details like the date the vaccine was administered, patient e-signatures, and other important info in your Jotform account. Embed in your vaccination appointment website or send directly to your patients before their appointments. After your patient’s signature has been collected, you’ll receive a notification and a finalized version of the consent form.

Need to personalize your consent form with some extra details? No problem. With Jotforms’s drag-and-drop builder you can include vaccine details, change fonts and colors, add signature fields for parents or guardians, upload images, and more. After each patient has signed the document, you can automatically download it as a PDF for your records and share with other medical professionals. Ensure the safety of all your patients with Jotform Sign.

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These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.