Frontline Flu 2020-2021 Peer Vaccination Registration Form

 

Your details

I wish to register as a Peer vaccinator:

Grade:
Grade:

Best way to contact you to deliver this programme:

Contact number format example: +44 7624 000 000

 

Approval

Please confirm that you have discussed and agreed this role with your line manager and that this has been approved
Please confirm that you have discussed and agreed this role with your line manager and that this has been approved
 

Training

You will need to complete the following training modules within the Health and Care section of eLearn Vannin to support the 2020-2021 delivery.
 
This needs to be completed by 4 September 2020 latest:
 
  • eLfH: Flu Immunisation (FLU 2020-21)
  • Emergency Treatment of Anaphylactic Reactions e-Module

Please refer to your registration response email to confirm completion of these Training Modules.

 

Areas where you are willing to vaccinate Frontline staff?

I wish to assist in:
I wish to assist in:
 
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