Vaccination Consent Form
Digital vaccination consent form for Swiss vaccination campaigns, school immunisation programmes, and travel medicine clinics. Covers health pre-screening, allergy check, and informed consent under the Swiss Epidemics Act (EpG) and nFADP.
About this template
The Vaccination Consent Form is designed for Swiss healthcare providers conducting vaccination campaigns, school immunisation programmes, travel medicine consultations, and occupational health vaccination events. The form captures the patient's or parent's informed consent, performs a brief health pre-screening to identify contraindications, and documents the specific vaccine being administered. It is compliant with the Swiss Epidemics Act (EpG/LEp) and the nFADP data protection requirements.
Swiss Epidemics Act (EpG) and vaccination records
Under the Swiss Epidemics Act (EpG), vaccination records must be kept by the administering provider and made available to the patient in their vaccination booklet or electronic record. The nFADP requires that vaccination data, as sensitive health data, be processed with appropriate security measures and stored on adequately protected infrastructure.
What this form collects
- Patient or child name, date of birth, contact details
- Vaccine name and disease targeted
- Context of vaccination (campaign, school, travel, occupational)
- Allergy screening (egg protein, gelatin, neomycin, yeast)
- Current health status and fever check
- Prior vaccination history and any adverse reactions
- Pregnancy or immunosuppression status
- Consent declaration with parental signature for minors
- Healthcare provider administration record
How to use this template
Use this template
Click 'Use template' to create a copy in your dashboard.
Set the vaccine name
Update the vaccine name field or pre-fill it for campaign-specific forms (e.g. annual influenza, HPV school programme).
Configure for minors
For school vaccination programmes, enable the parental signature field and add a note that the form must be signed by a parent or legal guardian for patients under 16.
Distribute and collect
Share the form link with patients, schools, or employers. Completed forms are stored securely in your Schweizerform dashboard.
Document administration
After vaccination, the administering nurse or physician completes the administration record and updates the patient's vaccination booklet.
Vaccination in Switzerland: Rights, Recommendations, and Records
Switzerland has a well-established national vaccination programme coordinated by the Federal Office of Public Health (FOPH / BAG / OFSP). The Swiss vaccination schedule covers recommended vaccines for all age groups from infancy to old age. Vaccination in Switzerland is voluntary — there is no mandatory vaccination law — but the EpG gives cantonal and federal authorities powers to recommend or order vaccination in the event of an epidemic or pandemic.
What is informed consent for vaccination?
Informed consent for vaccination means that the patient (or their legal guardian for children under 16) has received information about the vaccine's purpose, the disease it prevents, the benefits and known risks of vaccination, the consequences of not vaccinating, and any contraindications. Consent must be voluntary and given without coercion. A written consent form creates a documented record of this process.
What are common contraindications to vaccination?
Contraindications vary by vaccine. General contraindications include severe allergic reaction (anaphylaxis) to a previous dose of the same vaccine or to a vaccine component, and current severe acute illness with fever. Specific contraindications include egg allergy for some influenza vaccines, gelatin allergy for varicella and MMR vaccines, and immunosuppression for live attenuated vaccines. Pregnancy is a contraindication for most live vaccines.
What vaccines are recommended in Switzerland?
The Swiss national vaccination plan distinguishes between basic (Grundimpfungen) and supplementary (Ergaenzungsimpfungen) vaccinations. Basic vaccinations include DTaP-IPV-Hib-HepB, MMR, varicella, HPV, meningococcal, and annual influenza for risk groups. Supplementary vaccinations include hepatitis A and B, TBE/FSME, pneumococcal, and rabies for travellers. Travel vaccinations are tailored to the destination.
How is vaccination data protected in Switzerland?
Vaccination records are health data and fall under the nFADP (sensitive personal data category). Healthcare providers must implement appropriate security measures and may only share vaccination data with other providers involved in the patient's care, public health authorities under EpG reporting obligations, and the patient themselves.
Frequently asked questions
Can a child consent to vaccination without parental consent in Switzerland?
Swiss law (ZGB Art. 16) recognises the concept of discernment (Urteilsfaehigkeit). An adolescent who demonstrates sufficient maturity and understanding to appreciate the nature and consequences of vaccination may consent independently. In practice, most healthcare providers require parental consent for children under 14-16, depending on the institution's policy.
What should I do if I experience a reaction after vaccination?
Minor reactions (soreness at the injection site, low-grade fever, fatigue) are normal and usually resolve within 1-3 days. Serious adverse reactions should be reported to a doctor immediately and to Swissmedic via the ElViS pharmacovigilance system.