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2015 / 2016 Influenza Vaccine Order Form Perth District Health Unit 653 West Gore Street Stratford, Ontario N5A 1L4 Tel: 5192717600 / Fax: 5192712785 PhD Use Only Order No.: When completed, fax this
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How to fill out 2015 2016 influenza vaccine?

01
Consult with a healthcare professional: Before filling out the 2015 2016 influenza vaccine, it is important to consult with a healthcare professional. They can provide guidance on the proper technique and assist in answering any questions or concerns you may have.
02
Prepare the vaccine dose: Ensure that you have the correct influenza vaccine for the 2015 2016 season. Follow the instructions provided with the vaccine to properly prepare the dose. This may involve reconstitution or other specific steps.
03
Choose the injection site: Common injection sites for the influenza vaccine include the upper arm or thigh. Cleanse the chosen site with an alcohol swab to minimize the risk of infection.
04
Administer the vaccine: Use a sterile syringe and needle to administer the vaccine into the chosen injection site. Follow proper injection techniques and guidelines provided by healthcare professionals.
05
Dispose of the syringe and needle safely: After administering the vaccine, safely dispose of the syringe and needle in a designated sharps container. Do not discard them in regular household trash.

Who needs 2015 2016 influenza vaccine?

01
The general population: The 2015 2016 influenza vaccine is recommended for everyone. It is especially important for individuals who are at a higher risk of developing severe complications from influenza, such as the elderly, young children, pregnant women, and individuals with underlying health conditions.
02
Healthcare workers: Healthcare workers, including doctors, nurses, and other medical professionals, should receive the 2015 2016 influenza vaccine to protect themselves and their patients from the virus.
03
Close contacts of high-risk individuals: Individuals who live or work closely with people at high risk of complications, such as caregivers or household members, should also get vaccinated to reduce the spread of influenza.
04
Travellers: Individuals who are planning to travel during the 2015 2016 influenza season, especially to areas with high influenza activity, should consider getting vaccinated to lower their risk of contracting the virus.
It is important to note that the specific recommendations for who should receive the 2015 2016 influenza vaccine may vary depending on your country's guidelines and current influenza activity. Always consult with a healthcare professional to determine if the vaccine is appropriate for you.
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The influenza vaccine order form is a document used to request a supply of influenza vaccines.
Healthcare providers and organizations that administer influenza vaccines are required to file the influenza vaccine order form.
The influenza vaccine order form should be filled out with the required information about the quantity of vaccines needed and the delivery details.
The purpose of the influenza vaccine order form is to ensure that healthcare providers have an adequate supply of influenza vaccines to administer to patients.
The influenza vaccine order form must include information about the quantity of vaccines needed, delivery address, contact person, and any special instructions.
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