Informed Consent – Shingles Vaccination

Before any vaccination, patients must be given information about:

  • What the vaccine is for
  • The benefits of vaccination
  • Possible side effects and risks

There should also be an option to ask questions or decline.

This is called informed consent.

Please read the patient information concerning shingles and complete – click here.

If you would rather speak to a practice nurse first, please contact the Surgery.

We need you to complete this at least 48 hours before your proposed vaccination appointment otherwise your appointment will be cancelled.

Informed Consent - Shingles Vaccination

Name  Required
Date of Birth  Required
I have read the information supplied and give consent for the shingles vaccination procedure. (Tick in box)  Required