Influenza vaccine – Ministry of Health

In order to authorise the vaccination of your child, you must print the authorisation form, sign it and return it to the Primary Section Inspectors or the Middle Section Assistant / by Friday, 20 th March at the latest. The Lo Barnechea vaccination centre requires this authorisation.

I have read the letter sent on 12th March about the influenza vaccine.

He tomado conocimiento de la circular de fecha 12 de marzo sobre la vacuna de la influenza.

Pupil's name / Nombre del alumno:

Year / Curso:

I do authorise / autorizo:Yes/SiNo

Parent's signature / Firma apoderado