Form

COVID-19 vaccination: consent form for children and young people or parents

COVID-19 vaccination consent form for children and young people or parents and carers.

• From: UK Health Security Agency
• Published: 21 September 2021
• Last updated: 9 November 2021 — See all updates

Applies to England

Documents

Consent form for children, young people or parents and carers (PDF version)

Ref: UKHSA gateway number 2021484

PDF, 44.5 KB, 1 page

This file may not be suitable for users of assistive technology.

Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email publications@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Consent form for children, young people or parents and carers (Word version)

MS Word Document, 11.4 KB

This file may not be suitable for users of assistive technology.

Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email publications@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Consent form for children, young people or parents and carers (open source version)

ODT, 27.7 KB

This file is in an OpenDocument format

This file may not be suitable for users of assistive technology.

Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email publications@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Easy-read consent form for children, young people or parents and carers

Ref: UKHSA gateway number 2021451

PDF, 718 KB, 5 pages

This file may not be suitable for users of assistive technology.

Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email publications@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

The coronavirus (COVID-19) vaccination consent form for children and young people or their parents and carers are available in different software versions and can be ordered or downloaded.

A British Sign Language (BSL) video of this consent form is available to view or download.

An audio version of this consent form is available to download.

A Braille version of this consent form is available to order.

A template letter is available for the schools COVID-19 vaccination programme. Information leaflets aimed at children and young people are available to download or order.

The easy-read consent form is aimed at children and young people who have a learning disability is available for download only. Further easy-read resources for children and young people are available to download.

Published 21 September 2021
Last updated 9 November 2021 + show all updates

1. 9 November 2021

   Added links to the British Sign Language video, audio version and Braille version.

2. 13 October 2021

   Added revised consent form for children, young people or parents and carers in various formats.

3. 27 September 2021

   Added revised consent forms.

4. 21 September 2021

   First published.