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Central Office: 505 Silas Dean Highway, Wethersfield, CT 06109 Phone (860) 7212822 Fax (860) 7212823 Berlin: 240 Kensington Road, Berlin, CT 06037 Phone (860) 8287017 Fax (860) 8289248 Newington:
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How to Fill Out CCHD Offers Injectable-Only Flu:

01
Start by obtaining the CCHD offers injectable-only flu form from a healthcare provider or clinic.
02
Carefully read the instructions provided on the form to ensure accurate completion.
03
Provide your personal information, including your full name, date of birth, and contact details.
04
Indicate your current health status, specifically disclosing any known allergies or medical conditions that may affect your eligibility for the injectable-only flu vaccine.
05
Answer the additional questions on the form related to your current health status, recent vaccinations, and any potential exposure to contagious diseases.
06
If applicable, provide details on your immunization history, including the dates of previous flu shots or other vaccinations received.
07
Carefully review the terms and conditions section and sign the form to acknowledge your understanding and agreement.
08
Submit the completed form to the designated healthcare provider or clinic as instructed.

Who Needs CCHD Offers Injectable-Only Flu:

01
Individuals who prefer or require the injectable form of the flu vaccine instead of the nasal spray vaccine.
02
People with certain medical conditions or allergies that make them ineligible for the nasal spray vaccine.
03
Pregnant women, as the nasal spray vaccine is not recommended for them.
04
Individuals who are elderly or have weakened immune systems, as the injectable vaccine may offer better protection for them.
05
Healthcare workers who have close contact with patients and need to minimize the risk of transmitting the flu virus.
Remember, always consult with a healthcare professional to determine if the injectable-only flu vaccine is suitable for you or if there are any specific recommendations based on your individual health circumstances.
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CCHD offers injectable-only flu vaccines for individuals who prefer this method of administration.
Healthcare providers and organizations offering flu vaccinations are required to file for cchd offers injectable-only flu if they are providing injectable-only flu vaccines.
To fill out cchd offers injectable-only flu, healthcare providers and organizations need to include information about the vaccine manufacturer, lot number, administration date, and recipient information.
The purpose of cchd offers injectable-only flu is to track and monitor the distribution and administration of injectable-only flu vaccines.
Information such as vaccine manufacturer, lot number, administration date, and recipient information must be reported on cchd offers injectable-only flu forms.
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