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PATIENT ASSESSMENT FORM Malaria Prophylaxis Patient name of GP (optional) Address Name & address of surgery (optional) Telephone DOB Age Weight (if under 45 kg) Name of parent×guardian, if patient
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Malaria prophylaxis is the preventive treatment given to individuals at risk of contracting malaria to reduce the likelihood of infection.
Individuals traveling to areas with high malaria transmission rates are required to take malaria prophylaxis.
Malaria prophylaxis can be filled out by consulting with a healthcare provider for appropriate medication and dosage based on the destination and individual health factors.
The purpose of malaria prophylaxis is to protect individuals from contracting malaria while traveling to areas with high transmission rates of the disease.
Information such as the name of the medication, dosage, duration of prophylaxis, and any side effects experienced should be reported on malaria prophylaxis forms.
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