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THIS FORM MUST BE SIGNED AND RETURNED BEFORE YOUR CHILD RECEIVES VACCINE Minnesota 2010-2011 Influenza Vaccine School Consent Form (Injection) Information about Child to Receive Vaccine (Please Print)

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What is doc school influenza clinic?

The doc school influenza clinic is a clinic specifically for schools that provides influenza vaccines to students and staff.

Who is required to file doc school influenza clinic?

The school administrator or designated personnel are required to file the doc school influenza clinic.

How to fill out doc school influenza clinic?

To fill out the doc school influenza clinic, the school administrator or designated personnel must complete the required forms, including information about the number of vaccines administered and any adverse reactions.

What is the purpose of doc school influenza clinic?

The purpose of the doc school influenza clinic is to prevent the spread of influenza among the school population by providing vaccines and promoting immunization.

What information must be reported on doc school influenza clinic?

The doc school influenza clinic requires reporting the number of vaccines administered, any adverse reactions, and other relevant data such as the date of the clinic.

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