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Flu Vaccine Consent Forms

Please select the correct flu shot consent form link under your province below. Click the link to open and download the form, then print and complete the form to take with you to your Pharmasave pharmacist. If you do not have a printer, the pharmacy can provide you with a blank form to fill out at the pharmacy.

Due to privacy reasons, please do not email your completed form.

Contact your local Pharmasave store for specific details about getting your flu shot. Find your nearest Pharmasave location here.


Click here for the Alberta flu shot consent form.


Click here for the Manitoba flu shot consent form.

New Brunswick

The New Brunswick flu shot consent form in English and French.

Newfoundland and Labrador

The Newfoundland and Labrador flu shot consent form in English and French.

Nova Scotia

The Nova Scotia consent form is coming soon.


Click here for the Ontario flu shot consent form.

Prince Edward Island

The Prince Edward Island flu shot consent form in English and French.


Click here for the Saskatchewan flu shot consent form.

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