Flu Information

Influenza Information Page - October 2021

Please note this is a hidden web page - you must have the web address to access it.

Flu Shots - starting in October 2021

The influenza vaccine is administered annually to residents and staff, starting in October when we receive the vaccine. We encourage you to get the flu shot as well in order to protect those around you. Our residents are more vulnerable than the general population when it comes to the flu and have more complications - including death - if they become ill.

As a reminder:

Wash your hands with alcohol based hand sanitizer when entering and leaving The Mount.
Get a flu shot.
Reschedule your visit if you are unwell.

Resources:
https://www.princeedwardisland.ca/en/information/health-pei/flu-vaccination-clinics

As the next of kin or family member, you will need to consent to the influenza vaccination for your loved one. Please fill out the form below (only if you have not completed the paper version).

Online Consent to Influenza Vaccination

* Indicates required field

Resident Name: *

Information about influenza vaccination: www.princeedwardisland.ca/en/information/health-pei/flu-vaccination-clinics

I have read or have had the information sheets about the influenza immunization read to me and understand the information about the immunization that will be administered. The nature and anticipated effect of this immunization including the risks and benefits have been explained to me and I am satisfied with these explanations and I understand them. I have had the opportunity to ask questions and have them answered. *

Yes No

Next of Kin / Healthcare Proxy Name: *

Relationship to Resident *

By submitting this form you consent to the 2021 influenza vaccine for the resident.

Personal health information on this form is collected for the purposes of the provision of health care. Your information will be collected, used, and disclosed only as permitted by the Health Information Act, RSPEI 1988, c H-1.41, and other applicable legislation. For more information on privacy and your personal health information, visit www.healthpei.ca/yourprivacy or contact (902) 368-6157.

Submit

For More Information:

For more information, contact the Director of Nursing, Rochelle Visser, at 902-370-5698, or by email: don@themountcommunity.ca, or use the contact form below.
To contact the Administrator, Lindsay Dickieson, call 902-620-0206, or by email: lindsay@themountcommunity.ca, or use the contact form below.
To contact the front office - call 902-370-8888 or email office@themountcommunity.ca.

Influenza Information Page - October 2021

Online Consent to Influenza Vaccination

For More Information:

Questions or comments: