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201617 School Based Influenza Vaccine Consent Form County School District Section 1: Information about Student to Receive Influenza Vaccine (please print clearly) STUDENTS NAME (Last) (First) (M.I.)
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How to fill out 2016-17 school based influenza

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How to fill out 2016-17 school based influenza

01
Start by gathering the necessary forms and information.
02
Fill out the students' personal information, including name, date of birth, and contact information.
03
Provide the students' medical history, including any known allergies or previous vaccinations.
04
Fill out the consent section, indicating whether the student has parental permission to receive the influenza vaccination.
05
Submit the completed form to the school administration or healthcare provider responsible for administering the vaccines.
06
Ensure that all information is filled out accurately and completely to avoid any delays or complications.

Who needs 2016-17 school based influenza?

01
Students who are attending schools in the 2016-17 academic year should receive the school-based influenza vaccination.
02
This includes students from preschool through high school.
03
The vaccine is especially recommended for students with certain medical conditions such as asthma, diabetes, and weakened immune systems.
04
However, it is generally recommended for all students to receive the influenza vaccination to prevent the spread of the virus within the school community.
05
School staff and faculty members may also be eligible to receive the school-based influenza vaccination.
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17 school based influenza refers to the reporting of influenza cases within school settings.
School administrators or healthcare providers are typically required to file 17 school based influenza.
To fill out 17 school based influenza, one must provide information on the number of influenza cases in the school, affected individuals, and any preventive measures taken.
The purpose of 17 school based influenza is to monitor and track the spread of influenza within school environments.
Information such as number of cases, affected individuals, age groups, symptoms, and any preventive measures must be reported on 17 school based influenza.
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