Remity Staffing – Influenza Vaccination Declaration

Remity Staffing - Influenza Vaccination Declaration

Every year the influenza vaccination is offered to NHS staff as a way to reduce the risk of staff contracting the flu virus and transmitting it to patients or their family members. Healthcare workers may transmit the illness to patients even if they are mildly or sub-clinically infected. Influenza is a highly transmissible infection. Occupational health teams leads the delivery of vaccinations across the NHS trusts.

Have you had the Influenza Vaccination?* YesNo

If yes, can you please state the date below

If no, please provide the steps below in how and when you aim to retrieve an annual flu Jab

First Name*

Last Name*

NMC / GMC Number*

Date*

Signature*

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