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20142015 SEASONAL INFLUENZA SCREENING QUESTIONNAIRE Patient Names: DOB: Patient temperature: (for staff use only) The following questionnaire will help us to know if you or your child can get the
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How to fill out 20142015 seasonal influenza screening:

01
Begin by obtaining the necessary form for the 20142015 seasonal influenza screening from a healthcare provider or downloading it from a reputable source.
02
Read through the instructions on the form carefully to ensure you understand what information is required and how to fill it out correctly.
03
Start by providing your personal information, such as your full name, date of birth, and contact information, in the designated fields on the form.
04
Next, indicate your current medical conditions or any relevant medical history that may be asked on the form.
05
Proceed to answer the screening questions related to symptoms of influenza or exposure to the virus. Be as accurate and thorough as possible when providing this information.
06
If the form asks for any supporting documentation, such as previous vaccination records or recent medical test results, make sure to attach them to the form, if applicable.
07
Review your completed form to ensure all required fields are filled out correctly and all necessary information is provided.
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Once you are confident that the form is complete and accurate, submit it according to the instructions provided by your healthcare provider or the organization requesting the screening.

Who needs 20142015 seasonal influenza screening?

01
It is recommended for individuals of all ages, especially those who are at higher risk of developing influenza-related complications, such as young children, older adults, pregnant women, and individuals with certain medical conditions.
02
Healthcare professionals, including doctors, nurses, and other healthcare workers, should also undergo seasonal influenza screening to protect themselves and their patients from potential outbreaks.
03
Certain occupations or industries may require employees to undergo seasonal influenza screening as a preventive measure to minimize the spread of the virus and ensure a safe working environment. It is best to consult with your employer or occupational health department to determine if screening is necessary for your particular situation.
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Seasonal influenza screening for the years 2014 and 2015 is a process of testing individuals for the presence of influenza viruses during the respective seasons.
Healthcare providers, hospitals, and clinics may be required to file 20142015 seasonal influenza screening reports as mandated by public health authorities.
To fill out the 20142015 seasonal influenza screening, healthcare providers need to collect samples from individuals, conduct tests to detect the influenza virus, and submit the results to the appropriate authorities.
The purpose of conducting 20142015 seasonal influenza screening is to monitor the prevalence of influenza viruses in the population, track any outbreaks, and implement appropriate public health measures to control the spread of the virus.
The information reported on 20142015 seasonal influenza screening may include the number of individuals tested, the type of influenza virus detected, any outbreaks identified, and the measures taken for prevention and control.
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