Examples of eConsent Form Data Entries

The data from the e-Consent form is used to populate the Immunisations section of the RIVIAM Digital care platform.  

Examples of the types of data to be supplied are shown in the following screenshots: 

 Main Landing Page

This contains a set of FAQs as well as further information on the Immunisations team managing the programme. 

School selection 

Here the parent selects the school using the name or location. A dropdown appears with the options.  

Child details 

Having selected a school, the parent/guardian moves on to fill in details of the pupil being immunised, including their address. 

Parent/Guardian details 

 The parent/guardian then moves on to fill in their details 

Providing Consent 

Next, the parent will indicate yes/no to consent. If no, a dropdown will ask for a reason and a record will be created in RIVIAM. If yes, they move on to the next section. 

Child's Health History 

This section captures key information about any underlying conditions or allergies. Any yes answers will trigger a request for further information which is captured in the patient record on RIVIAM for Triage. 

Confirmation 

Having completed the form the parent will receive a confirmation message on the screen and will receive a confirmation email.