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Staff Flu Pre-Vaccination Screening Form (PEER Immunization) 2-Page Questionnaire — Please ensure you complete and submit both pages PERSONAL DETAILS ORDER REF No: AFPI for office use only Surname
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How to fill out staff flu pre-vaccination screening

How to fill out staff flu pre-vaccination screening:
01
Begin by obtaining the staff flu pre-vaccination screening form from your employer or healthcare provider.
02
Carefully read all the instructions and questions on the form to ensure understanding.
03
Provide your personal information such as your name, date of birth, employee identification number, and contact details in the designated sections.
04
Answer the screening questions honestly and accurately. These questions usually inquire about your current health status, any previous adverse reactions to vaccines, allergies, or existing medical conditions that may affect your eligibility for the flu vaccine.
05
If there is a section for additional comments or notes, use it to provide any relevant information that you think the healthcare provider should know before administering the vaccine.
06
Double-check all the information filled in to ensure its correctness and legibility.
07
Submit the completed form to the designated authority or healthcare professional responsible for conducting the pre-vaccination screening.
Who needs staff flu pre-vaccination screening:
01
Employees working in healthcare facilities or settings where they may come in close contact with vulnerable populations, such as hospitals, nursing homes, or clinics, typically require staff flu pre-vaccination screening.
02
Staff in educational institutions, particularly those working with young children, may also need to undergo pre-vaccination screening to ensure the safety of the students.
03
Certain industries or job roles that involve close interaction with large groups of people, such as customer service or public transportation, may have specific requirements for staff flu pre-vaccination screening to prevent the spread of illnesses.
Note: The specific guidelines for who needs staff flu pre-vaccination screening may vary depending on regional health policies and the recommendations of healthcare authorities. It is always best to consult with your employer or healthcare provider to determine if you require staff flu pre-vaccination screening.
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