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20172018 Influenza Vaccination Consent Chatham Health DistrictPLEASE PRINT CLEARLYLast NameFirst Backstreet AddressTownZip Telephone #Date of BirthAgeSexEmail AddressMethod of Payment: Insurances
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Chatham Health District is a regional health department located in the town of Chatham, responsible for promoting and protecting public health in the area.
All businesses and individuals operating within the boundaries of Chatham Health District are required to file reports and comply with health regulations.
To fill out Chatham Health District reports, individuals and businesses must follow the guidelines provided by the department and submit the necessary information online or in person.
The purpose of Chatham Health District is to monitor and improve the health of the community through various programs, inspections, and regulations.
Information regarding business operations, food safety measures, public health concerns, and compliance with health regulations must be reported on Chatham Health District forms.
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