Privacy and how we use your information
Before your vaccinations you will need to provide the nurses some personal information. We adhere to the regulations and standards for privacy as set by Health NZ.
Before your immunisation you will be required to give consent and answer questions about any previous vaccinations and reactions. For more information about the flu vaccine for 2026, please visit: https://healthify.nz/health-a-z/i/influenza
Eligibility
Flu Vaccine: Staff onsite will confirm if you are eligible for a government funded flu vaccine before vaccinations
Please click "next" to continue to the booking page.
Location and Time
Personal Details
Terms & Conditions
General Confirmation
I confirm that:
· I am at least 16 years old.
· I have read or been offered access to the Consumer Medicine Information (CMI) about the flu and COVID-19 vaccines, including how they work, possible side effects and precautions. For more information, see: Flu Vaccine and Covid-19 vaccine
· I understand the precautions, contraindications, and potential side effects, and to my knowledge I do not have any condition that prevents me from receiving the vaccine.
· I will answer all questions truthfully about my health, past vaccinations, and any conditions that may affect my vaccination.
· I will inform the nurse immediately of any adverse reactions during or after vaccination, including discomfort, dizziness, shortness of breath, or swelling of the face, lips, tongue, or body.
· I understand that my vaccination status may be shared with my employer
- For flu vaccines, I understand that my vaccination will be recorded in the Aotearoa Immunisation Register (AIR). More info here: AIR Information
Precautions & Contraindications
Before vaccination, I will inform the nurse if I:
· Have had an allergic reaction to any previous vaccine.
· Have had another vaccine recently (e.g., COVID-19).
· Am allergic to any ingredients in the vaccine.
· Have an acute illness or temperature over 38.5ºC.
· Have or have had immune system problems or treatments (e.g., corticosteroids, chemotherapy).
· Have a bleeding disorder or bruise easily.
· Have ever fainted before, during, or after an injection.
· Are pregnant
· Have or have had Guillain-Barré Syndrome after a flu vaccine.
Having one of these conditions may not prevent vaccination, but discussing it with the nurse ensures an informed decision.
Side Effects
I understand that vaccines may cause mild side effects, such as:
· Pain, tenderness, redness, swelling, or bruising at the injection site
· Flu-like symptoms (headache, muscle aches, sore throat, cough, fever, chills)
· Nausea, vomiting, or diarrhea
These are usually normal immune responses and do not mean I am sick. The vaccine cannot cause the illness.
I will remain nearby for 5-15minutes as per the vaccinators instructions so that they can monitor me for any adverse reactions.
Terms & Conditions
General Confirmation
I confirm that:
· I am at least 16 years old.
· I have read or been offered access to the Consumer Medicine Information (CMI) about the flu and COVID-19 vaccines, including how they work, possible side effects and precautions. For more information, see: Flu Vaccine and Covid-19 vaccine
· I understand the precautions, contraindications, and potential side effects, and to my knowledge I do not have any condition that prevents me from receiving the vaccine.
· I will answer all questions truthfully about my health, past vaccinations, and any conditions that may affect my vaccination.
· I will inform the nurse immediately of any adverse reactions during or after vaccination, including discomfort, dizziness, shortness of breath, or swelling of the face, lips, tongue, or body.
· I understand that my vaccination status may be shared with my employer
- For flu vaccines, I understand that my vaccination will be recorded in the Aotearoa Immunisation Register (AIR). More info here: AIR Information
Precautions & Contraindications
Before vaccination, I will inform the nurse if I:
· Have had an allergic reaction to any previous vaccine.
· Have had another vaccine recently (e.g., COVID-19).
· Am allergic to any ingredients in the vaccine.
· Have an acute illness or temperature over 38.5ºC.
· Have or have had immune system problems or treatments (e.g., corticosteroids, chemotherapy).
· Have a bleeding disorder or bruise easily.
· Have ever fainted before, during, or after an injection.
· Are pregnant
· Have or have had Guillain-Barré Syndrome after a flu vaccine.
Having one of these conditions may not prevent vaccination, but discussing it with the nurse ensures an informed decision.
Side Effects
I understand that vaccines may cause mild side effects, such as:
· Pain, tenderness, redness, swelling, or bruising at the injection site
· Flu-like symptoms (headache, muscle aches, sore throat, cough, fever, chills)
· Nausea, vomiting, or diarrhea
These are usually normal immune responses and do not mean I am sick. The vaccine cannot cause the illness.
I will remain nearby for 5-15minutes as per the vaccinators instructions so that they can monitor me for any adverse reactions.
