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Consent outcome: consent given

Information:

Mavis automatically inserts the correct names, dates, URLs and team contact information.

Email

vaccination and dates for short patient name


You’ve given consent for full and preferred patient name to have their vaccination at location name.

consented vaccine methods message

Please let them know what to expect. We’ll send you confirmation once your child has been vaccinated.

If short patient name apos health changes, or you arrange for them to be vaccinated elsewhere, let our team know using the details below. You should also tell us if your child receives any other vaccinations before the session.

If you want to withdraw your consent, please phone us.

subteam name
subteam email
subteam phone

Text message

You’ve given consent for short patient name to get their vaccination and dates.

consented vaccine methods message

Please let them know what to expect.

If anything changes, phone subteam phone.