SUNY Plattsburgh Faculty, Staff and Students 18+ Influenza Immunization Consent Form

Appointment

Name*

First NameLast Name

Date of Birth*

Date

** If you do not have insurance and/or do not want us to bill insurance you have the option of paying $30 cash for the immunization - if this is the case please write CASH in the two fields below in order to submit the form - you will not be able to submit the form if these fields are left blank **

Insurance Provider***

Enter Insurance Provider Name or CASH if you wish to pay cash

Insurance ID** *

Enter Insurance provider ID or CASH if you wish to pay cash

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Ethnicity*

Race*

Sex*

Mother's Maiden Name (Last Name ONLY)

Physician's Name OR

First NameLast Name

Physician or Practice Phone Number

Physician or Practice Phone Number.

1. Are you sick today?*

YESNO

2. Do you have allergies to medications, food, a vaccine component or latex?*

YESNO

3.Have you ever had a serious reaction after receiving a vaccination?*

YESNO

4. Do you have a long-term health problem with heart disease, lung disease, asthma, kidney disease, metabolic disease (e.g., diabetes), anemia, or other blood disorders?*

YESNO

5. Do you have cancer, leukemia, HIV, AIDS or any other immune system problem>*

YESNO

6. In the past 3 months, have you taken medications that affect your immune system, such as prednisone, other steroids, or anticancer drugs; drugs for the treatment of rheumatoid arthritis, Crohn's disease, or psoriasis; or have you had radiation treatments?*

YESNO

7.Have you had a seizure or brain or other nervous system problem?*

YESNO

8. During the past year, have you received a transfusion of blood or blood products or been given immune (gamma) globulin or an antiviral drug?*

YESNO

9. For Women, Are you pregnant or is there a chance you could become pregnant during the next month?*

YESNO

10. Have you received any vaccinations in the past 4 weeks?*

YESNO

By signing below I admit that I am 18+ years of age

Immunization Agreement
I understand that the pharmacy advises me to remain within the pharmacy at least 20 minutes after the injections for observation. I will notify the pharmacy of any adverse events associated with immunization. Permission is herby granted to Keeseville Pharmacy to release information to my primary care provider, identified above, regarding any vaccinations received today.

NYSIIS Reporting
Our Pharmacy and the New York State Department of Health want to inform you about the Statewide Immunization Information System(IIS) By law, any immunizations given to patients under the age of 19 must be reported into a secure web-based IIS and this electronicsystem is Called the New York State Immunization Information System (NYSIIS).For patients aged 19 and older, immunizations may be reported to NYSIIS with patient consent. Inclusion of adults will significantly contribute to a fully-developed, population-based database of accurate immunization records, and complete date is essential to developing statewide immunization programs intended to reduce the burden of vaccine preventable disease.

By signing below, I agree to the reporting of my vaccine administration to NYSIIS

Signature*

SUNY Plattsburgh Faculty, Staff and Students 18+ : Influenza 2025/2026 Immunization Consent