Consent information for health professionals for COVID-19 Vaccines

COVID-19 Vaccine Consent Forms

These forms can be used to check the vaccine recipients Consent & Medical Eligibility prior to administration and recording on the online platform. The forms are updated in line with latest clinical guidance. 

• Immunisation Consent Form Vaccinations Programme for people receiving COVID-19 vaccine - For the latest Comirnaty® antigenically updated vaccine available for people aged 5 years and older Version 15.0 September 2025 (187kb)
• Immunisation Consent Form Vaccinations Programme for people receiving COVID-19 vaccine - For the latest Comirnaty® antigenically updated vaccine for people age 6 months to 4 years old Version 7.0 September 2025 (142kb)
• Immunisation Consent Form Vaccinations Programme for people receiving both IIV and COVID-19 vaccines - For the latest Comirnaty® antigenically updated vaccine and an Inactivated Influenza Vaccine (IIV) for people aged 18 and older Version 3.0 September 2025 (351kb)

Useful resources to support the consent process for COVID-19 vaccination

• HSE National Consent Policy available at healthservice.hse.ie/staff/procedures-guidelines/hse-consent-policy/
• HSE Assisted Decision Making (Capacity) Act (2015) available at www.hse.ie/eng/about/who/national-office-human-rights-equality-policy/assisted-decision-making-capacity-act/
• For Nurses and Midwives- NMBI Code of Professional Conduct and Ethics available at www.nmbi.ie/Standards-Guidance/Code
• For Doctors- The Medical Council Professional Conduct and Ethics for Registered Medical Practitioners available at www.medicalcouncil.ie/news-and-publications/publications/overview/guide-to-professional-conduct-and-ethics.html
• For people living with dementia and their families HSE Dementia Pathways and supportive information is available at www.hse.ie/eng/dementia-pathways/about/

Go back to COVID-19 Vaccine Information for Health Professionals

This page was updated on 23rd September 2025