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Shasta County Public Health Trap Booster Vaccine School Clinic Consent Form Section 1: Information about Person to Receive Vaccine (please print) NAME (Last) (First) (M.I.) DATE OF BIRTH / / (MM/DD/YYY)
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01
Obtain the necessary forms: Visit the website of Shasta County Public Health or contact their office to obtain the required forms for filling out the application. These forms may vary depending on the specific service or program you are applying for.
02
Gather the required information: Before filling out the forms, gather all the necessary information and documents you will need to complete the application. This may include personal identification, contact information, medical history, and any supporting documentation required for the specific service or program.
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Provide necessary supporting documentation: As mentioned earlier, some services or programs may require supporting documentation. Make sure to attach any required documents, such as proof of income, proof of residency, or medical records. Check the instructions or contact Shasta County Public Health if you are unsure about the specific documents needed.
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Review and submit the application: After completing the forms and gathering all the required documentation, review your application thoroughly. Make sure all the information is accurate, complete, and properly organized. If everything is in order, submit your application to Shasta County Public Health following their specified submission procedure. This typically involves either mailing the forms or dropping them off at their office.

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Residents of Shasta County: Shasta County Public Health primarily serves the residents of Shasta County. If you live in this area and require public health services, programs, or resources, you may need to access Shasta County Public Health.
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Shasta County Public Health is a government organization responsible for protecting and promoting the health of residents in Shasta County, California.
All healthcare facilities, healthcare providers, and individuals who own or operate a food facility in Shasta County are required to file with Shasta County Public Health.
To fill out the Shasta County Public Health form, you can visit their website or contact their office for assistance.
The purpose of Shasta County Public Health is to prevent disease, promote health, and protect the community through education, regulation, and enforcement.
Information such as health inspection reports, food safety practices, communicable disease data, and immunization records must be reported to Shasta County Public Health.
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