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Created in response to a request from our recent Advanced Pharmacology for Community-Based Midwives webinar, this downloadable form on Routine Vaccines in Pregnancy offers clear, client-centered language to support informed decision-making around routine vaccinations during pregnancy—Tdap, Influenza, and COVID-19.

This download is available in two versions: One for midwives who offer vaccine administration, and one for midwives whose clients will need to seek vaccination elsewhere.

Written in an accessible, compassionate tone, this form is designed to reflect midwifery values: informed choice, autonomy, and respectful care.

Now included in the Complete Informed Consent & Refusal Bundle—at no extra cost!

© 2025 Augustine Colebrook All Rights Reserved

*This is a digital download. Not a physical printed item.

Routine Vaccines During Pregnancy | Informed Consent/Refusal Form

SKU: ICD022
$99.00Price
Excluding Sales Tax

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