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20162017 Seasonal Flu Vaccine Consent Form Please complete the entire form and sign! Incomplete forms will not be accepted Full, Legal Name of Student (First Name Middle Initial. Last Name) PLEASE
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How to fill out 2016-2017 seasonal flu vaccine
How to fill out 2016-2017 seasonal flu vaccine:
01
Contact your healthcare provider or visit a local clinic that offers the vaccine.
02
Schedule an appointment or find out if walk-ins are accepted.
03
Make sure to bring your identification and insurance information if applicable.
04
Complete any necessary paperwork or consent forms provided by the healthcare provider.
05
Provide your personal information, such as name, address, and contact details.
06
Indicate any known allergies or medical conditions that may affect your eligibility for the vaccine.
07
Answer any additional questions regarding your health history or recent illnesses.
08
Review any potential side effects or risks associated with the vaccine.
09
Consent to receiving the vaccine by signing the necessary document.
10
Follow any post-vaccination instructions given by the healthcare provider, such as monitoring for adverse reactions.
Who needs 2016-2017 seasonal flu vaccine:
01
The seasonal flu vaccine is recommended for everyone aged 6 months and older, unless contraindicated.
02
Individuals with chronic health conditions, such as asthma, diabetes, or heart disease, are particularly encouraged to get vaccinated.
03
Pregnant women and those who may become pregnant during flu season should receive the vaccine to protect themselves and their unborn baby.
04
Healthcare workers and caregivers of young children or individuals with weakened immune systems should also get vaccinated to prevent spreading the flu.
05
Older adults, especially those aged 65 years and older, are at higher risk of complications from the flu and should receive the vaccine.
06
People who live in close quarters, such as college students or residents of nursing homes, are more likely to be exposed to the flu and should be vaccinated.
07
It is important for individuals who have received the vaccine in previous years to continue being vaccinated annually to maintain protection against the latest strains of the virus.
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What is seasonal flu vaccine consent?
Seasonal flu vaccine consent is a form that allows individuals to give permission for receiving the flu vaccine.
Who is required to file seasonal flu vaccine consent?
Seasonal flu vaccine consent must be filed by individuals who wish to receive the flu vaccine.
How to fill out seasonal flu vaccine consent?
To fill out seasonal flu vaccine consent, individuals need to provide their personal information, medical history, and sign the form to indicate their consent.
What is the purpose of seasonal flu vaccine consent?
The purpose of seasonal flu vaccine consent is to ensure that individuals are informed about the vaccine and give their consent to receive it.
What information must be reported on seasonal flu vaccine consent?
Seasonal flu vaccine consent must include personal information, medical history, and consent signature.
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