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Alberta Influenza Immunization Program
Resource Guide for
Alberta Pharmacists
January 12, 2012Provided by the Alberta College of Pharmacists
to accompany/supplement Alberta Health Services information
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How to fill out alberta influenza immunization program
How to fill out Alberta Influenza Immunization Program:
01
Visit the official website of Alberta Health Services.
02
Look for the section related to the influenza immunization program.
03
Download and print the immunization consent form.
04
Fill out the form with your personal information, such as your name, address, and date of birth.
05
Make sure to provide accurate contact information so that you can be reached if needed.
06
Answer the questions regarding your medical history, allergies, and any previous vaccinations.
07
Review the consent statement and sign the form.
08
If the immunization is for a child, the parent or guardian must sign on their behalf.
09
Once the form is filled out and signed, submit it as instructed. This may include mailing it or dropping it off at a designated location.
Who needs Alberta Influenza Immunization Program:
01
The Alberta Influenza Immunization Program is recommended for all individuals aged six months and older.
02
It is particularly important for individuals at higher risk of complications from the flu, such as young children, pregnant women, seniors, and individuals with chronic medical conditions.
03
Health care workers and individuals in close contact with these high-risk groups are also encouraged to receive the influenza immunization to prevent the spread of the virus.
Remember, it is always best to consult with a healthcare professional or visit the official Alberta Health Services website for the most accurate and up-to-date information on filling out the Alberta Influenza Immunization Program.
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