Vaccine Authorization Letter

A parent or guardian can use this Vaccine Authorization Letter to consent to their child getting vaccinated in their absence, for instance, in school.

[Parent’ Name]

[Address]

[Mobile Number]

[Date]

To Whom It May Concern,

I am writing in response to the request to administer vaccinations to [Name]. Following a recent spike in infections throughout the school district, I hereby authorize [Name] to be vaccinated whenever required. I am the parent/legal guardian to the minor, and I believe this authorization will help the child remain healthy.

I have also received assurances from the medical team on the efficiency of the vaccines. The safety of my child is my primary goal, and through this vaccination, I can achieve that. The authorization will take effect from [Date] to [Date].

For any clarification, please contact me at [Email Address]

Sincerely,

[Parent’s Signature]

[Parent’s Name]