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First Name Last Name MI 5. Are you pregnant, or is there a chance you may become pregnant in the next two weeks? STOP — DO NOT WRITE BELOW THIS LINE.
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Colorado flu form is a form used to report flu cases in Colorado.
Healthcare providers and medical facilities are required to file Colorado flu form.
Colorado flu form can be filled out online on the official website or submitted by mail.
The purpose of Colorado flu form is to track and monitor flu cases in Colorado.
Information such as patient demographics, symptoms, and test results must be reported on Colorado flu form.
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