Flu consent enquiry form

If you would like your child to receive the flu vaccination, please complete the enquiry form below. By submitting the form, you are giving Vaccination UK (VUK) permission to contact you by phone or email.

Already completed a consent form?
If you have already submitted a flu vaccination consent for your child, you do not need to complete this form.

What happens next?
Once you’ve submitted the form, a member of our friendly team will contact you using the details you provide and guide you through the consent process. You’ll have the opportunity to ask any questions before giving your consent.

Please note that submitting this form is an enquiry and does not itself provide consent for your child to be vaccinated.

Consent form

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This field is for validation purposes and should be left unchanged.

Area/borough(Required)

Parent's full name(Required)

Phone(Required)

Country Phone Number

Email(Required)

Child's Details

Child's full name(Required)

Date of Birth(Required)

School

By submitting this form you give Vaccination UK permission to contact you to give consent for your child’s vaccination, inline with our privacy policy

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