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Seasonal Influenza Form SKB52 2/19/13 Name: Date: University ID: Program: (please check one) ACE Co?op RN?BSN MSN ...
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How to fill out influenza form - drexel
How to fill out influenza form - drexel:
01
Obtain the influenza form from the designated source, such as a healthcare provider or the Drexel University health center.
02
Carefully read and understand the instructions provided on the form to ensure accurate completion.
03
Enter personal information accurately, including full name, date of birth, and contact information.
04
Provide information on any existing medical conditions or allergies that may impact your influenza vaccination.
05
If applicable, indicate the specific influenza vaccine you received or plan to receive.
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Sign and date the form to certify its accuracy and completeness.
07
Return the completed form to the appropriate department or healthcare provider as instructed.
Who needs influenza form - drexel:
01
Students: All Drexel University students, including undergraduate, graduate, and professional students, may be required to fill out an influenza form.
02
Faculty and Staff: Drexel University employees and staff members may also need to fill out the influenza form as part of the institution's health and safety measures.
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Visitors: Depending on the policies in place, visitors to Drexel University, such as guest lecturers or event attendees, may be required to complete an influenza form to ensure the well-being of the campus community.
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What is influenza form - drexel?
Influenza form - drexel is a form required to report cases of influenza within the Drexel community.
Who is required to file influenza form - drexel?
All students, faculty, and staff at Drexel University are required to file the influenza form.
How to fill out influenza form - drexel?
You can fill out the influenza form online through the Drexel University website or by visiting the university health center.
What is the purpose of influenza form - drexel?
The purpose of the influenza form is to track and monitor cases of influenza within the Drexel community to prevent outbreaks.
What information must be reported on influenza form - drexel?
The influenza form requires reporting of symptoms, diagnosis, treatment, and contact information of individuals with influenza.
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