Vaccine Forms (Long-Term Care Homes)
The information below is intended for residents or substitute decision makers who have been contacted by Bethammi Nursing Home or Hogarth Riverview Manor and asked to complete a vaccine consent form for a resident.
Influenza Vaccines
Seasonal influenza vaccine programs are one of the most important steps in protecting residents from contracting influenza. Seasonal influenza vaccine is tailored each year to what the World Health Organization anticipates will be the circulating strains of influenza in the general population in the coming year.
To provide electronic consent for the influenza vaccine as a substitute decision maker, please complete the form using the link below:
- Influenza Vaccine Consent Form - Bethammi Nursing Home
- Influenza Vaccine Consent Form - Hogarth Riverview Manor
COVID-19 Vaccines
It is recommended that residents of long-term care homes receive a booster dose if at least six months (168 days) has passed since their last dose or confirmed COVID-19 infection.
St. Joseph's Care Group provides COVID-19 vaccines and boosters for long-term care residents. To provide consent for yourself or as a substitute decision maker for someone else, please use the link below.
To learn more about COVID-19 vaccines, please visit: Ontario Government - COVID-19 Vaccines
- COVID Vaccine Consent Form - Bethammi Nursing Home
- COVID Vaccine Consent Form - Hogarth Riverview Manor
Respiratory Syncytial Virus (RSV) Vaccine
Respiratory syncytial virus (RSV) is a major cause of respiratory illness, particularly among infants, young children, and older adults, affecting the lungs and airways. Similar to other viruses that cause respiratory illness, RSV can be passed from one person to another through respiratory droplets (such as from a cough or sneeze).
Currently, only a single dose is recommended by the National Advisory Committee on Immunization (NACI). Studies show protection lasting beyond one RSV season for several years.
Please only complete this form if you have instructed to do so by staff at Bethammi Nursing Home or Hogarth Riverview Manor.
