COVID-19 Vaccination Consent

Please complete the E consent to accept or decline the Covid 19 Vaccination for your child.

If you have already submitted but want to change your answers, please contact support directly at 0300 421 8140.

Child information

Contact details

Medical information

Please be aware that if you do not declare your child's previous Covid infection you could be putting their health and safety at risk.

I understand that the information provided will be added to my child's national vaccination record.

You must read and agree to our privacy policy to record your consent.

Learn how we use your information to improve our services.