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201516 School Based Influenza Vaccine Consent Form Floyd County Health Department Section 1: Information about Student to Receive Influenza Vaccine (please print) STUDENTS NAME (Last) (First) STUDENTS
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How to fill out 201516 school based influenza:

01
Collect the necessary information: Begin by gathering the relevant data required for filling out the 201516 school based influenza form. This may include the school's name, contact details, student information, and any additional information needed for tracking influenza cases.
02
Familiarize yourself with the form: Before filling out the form, carefully read through the instructions and guidelines provided. Understand the purpose of each section and how to accurately complete them.
03
Student information: Start by entering the student's details such as their name, date of birth, grade, and any other information requested. This section helps identify the affected student and track their progress.
04
Symptoms and diagnosis: Provide a comprehensive overview of the student's symptoms and diagnosis. Include any relevant information about the type of influenza, severity of symptoms, and any medical consultations or treatments received.
05
Contact information: Enter the contact details of the student's parents or guardians, as well as emergency contact information. This allows school authorities to reach out to the concerned parties, if required.
06
Preventive measures: Mention any precautionary measures taken within the school setting to curb the spread of influenza. This may include vaccination campaigns, health education programs, or additional sanitation measures.
07
Submit the form: Once you have completed all the necessary sections, review the information for accuracy and double-check for any missing or incorrect details. Make any necessary corrections before finalizing and submitting the 201516 school-based influenza form.

Who needs 201516 school based influenza:

01
School administrators: School administrators are responsible for ensuring the health and well-being of their students. They need the 201516 school-based influenza form to track and monitor influenza cases within their school community.
02
Parents or guardians: Parents or guardians need the 201516 school-based influenza form to report any influenza cases or symptoms exhibited by their child. This information helps keep the school informed and assists in implementing necessary preventive measures.
03
Health officials: Health officials rely on the 201516 school-based influenza form to gather data and statistics on influenza cases within schools. This information helps them analyze trends, identify potential outbreaks, and plan public health interventions effectively.
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201516 school-based influenza refers to the annual reporting of influenza cases in schools for the school year 2015-2016.
School administrators or designated personnel are required to file the 201516 school-based influenza report.
The 201516 school-based influenza report can be filled out by documenting the number of influenza cases in the school for the specific school year and submitting it to the relevant health authorities.
The purpose of 201516 school-based influenza reporting is to track and monitor influenza cases in schools to prevent outbreaks and protect the health of students and staff.
The information reported on the 201516 school-based influenza form includes the number of influenza cases in the school, any related symptoms, and the actions taken to control the spread of the virus.
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