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Colorado 20092010 H1N1 Flu Vaccine Consent and Screening Form 34340 Please print neatly in capital letters as shown in the example: Please shade circles completely Child/Student Please use reverse
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How to fill out colorado flu form child

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How to fill out the Colorado flu form for a child:

01
Start by obtaining the Colorado flu form for children. You can typically find it online on official government health websites or ask for a copy at your child's healthcare provider's office.
02
Begin by filling out the child's personal information section of the form. This includes their full name, date of birth, gender, and any other required details.
03
Provide the child's contact information, such as their home address and phone number. Ensure that the information recorded is accurate and up to date.
04
Answer the medical history questions related to the child's health and any pre-existing conditions. You may need to consult their healthcare provider or medical records for accurate responses.
05
Record the child's immunization history, including the flu vaccine if they have received it. Specify the date and type of vaccine administered.
06
Complete the consent section if needed. This may require the signature of the parent or guardian.
07
Review the form for any missing information or errors. Make sure all required fields are filled out accurately.
08
Finally, submit the form as instructed. This usually involves returning it to your child's healthcare provider or following the specific submission instructions mentioned on the form.

Who needs the Colorado flu form for a child?

01
Parents or legal guardians of children living in Colorado.
02
Healthcare providers or clinics responsible for administering flu vaccines to children.
03
Schools, daycares, or other organizations that require flu vaccination documentation for child enrollment or participation.
Note: The content provided is for informational purposes only and should not be considered as legal or medical advice. It is always recommended to consult the official sources, such as the Colorado Department of Public Health and Environment, for the most accurate and up-to-date information regarding the flu form and its requirements.
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