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This document serves as a consent form for employees of the State of Arizona to receive flu and pneumonia vaccinations. It includes information on vaccine-related risks and benefits, eligibility criteria,
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How to fill out STATE OF ARIZONA—EMPLOYEE FLU AND PNEUMONIA CONSENT 2012

01
Obtain a copy of the STATE OF ARIZONA—EMPLOYEE FLU AND PNEUMONIA CONSENT 2012 form.
02
Read through the information provided on the form regarding flu and pneumonia vaccines.
03
Fill out your personal information sections, including your name, date of birth, and employee identification number.
04
Review the potential benefits and risks of the vaccines as outlined on the form.
05
Indicate your consent or refusal for the flu and pneumonia vaccines by signing and dating the appropriate section.
06
Submit the completed form to your supervisor or the designated health official in your organization.

Who needs STATE OF ARIZONA—EMPLOYEE FLU AND PNEUMONIA CONSENT 2012?

01
Employees who are eligible for flu and pneumonia vaccination programs offered by the State of Arizona.
02
Individuals seeking to document their consent for receiving flu and pneumonia vaccines.
03
Staff members in positions where vaccination is recommended to maintain workplace health and safety.
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Everyone 6 months and older should get a flu vaccine every season with rare exceptions. Vaccination is particularly important for people who are at higher risk of serious complications from influenza. Flu vaccination has important benefits.
The strains of flu virus infecting people in the community can change. So, the flu vaccine must change as well. The flu vaccine is updated each year to give protection against current flu strains. So, you need to get a flu shot every year to protect you from the current flu viruses.
Sending vaccination reminders, making vaccines available in non-traditional places like workplaces, and reducing costs are important strategies for making sure more people get the flu vaccine.
These concerns include a lack of direct evidence for effectiveness of the vaccine; an unjustified infringement on religious customs, personal rights, or privacy of medical information; a belief in the existence of a government and/or pharmaceutical industry conspiracy; and a fear of serious personal harm.
Everyone 6 months and older should get a flu vaccine every season with rare exceptions. Vaccination is particularly important for people who are at higher risk of serious complications from influenza. Flu vaccination has important benefits.
NEW: 2024-2025 Flu Testing and Treatment Treatment of Influenza. Adults and adolescents (13 years and older): 75 mg twice daily for 5 days. Prophylaxis of Influenza. Adults and adolescents (13 years & older): 75 mg once daily for at least 10 days.
The influenza vaccine is recommended for everyone aged 6 months and over. It not only protects you, but also helps protect those around you. It is free under the National Immunisation Program for people most at risk, including: children 6 months to less than 5 years.

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The STATE OF ARIZONA—EMPLOYEE FLU AND PNEUMONIA CONSENT 2012 is a consent form used by employees in Arizona to allow for the administration of flu and pneumonia vaccinations within the workplace.
Employees who wish to receive flu and pneumonia vaccinations provided by their employer are typically required to file the STATE OF ARIZONA—EMPLOYEE FLU AND PNEUMONIA CONSENT 2012.
To fill out the form, employees should provide personal information such as their name, contact details, and any relevant medical history, followed by signing to indicate their consent for the vaccination.
The purpose of the form is to ensure that employees provide informed consent for receiving flu and pneumonia vaccinations, thereby protecting both the employee and the workplace from potential outbreaks.
The form must report employee identification details, medical history related to flu and pneumonia vaccinations, and a signed consent acknowledging the risks and benefits of receiving the vaccine.
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