UPDATE: Canadian version can be found here.
The document includes section on:
Recipient information (this is the part that you fill out that includes some of your medical history)
Information for you on the age-stratified potential risks of dying from COVID-19
Information on the potential risks associated with the COVID-19 injectable biological products
Information on the potential benefits associated with the COVID-19 injectable biological products according relative and absolute risk reductions
Information on the disadvantages associated with the COVID-19 injectable biological products
Information on Available alternative treatments
Information on Contraindications
A General Terms section to explain the terms of the informed consent document
Recipient agreement where you would have to sign
Clinician’s agreement where the medical professional would have to sign
Please feel more than free as clinicians, parents, nurse practitioners, whoever you are, to download this document and use it.