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20152016Adult Influenza Screening Questionnaire This printedmaterialcontainssensitivePII protectedunderthe Privacy Act which is FOR OFFICIAL USE ONLY and must be protected in accordance with the Privacy

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How to fill out flu 2015-16 adult influenza

01

Start by gathering all the necessary information and materials, including the flu 2015-16 adult influenza form, a pen or pencil, and any relevant medical records.

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Begin by filling out the personal information section of the form, which typically includes your full name, date of birth, address, and contact information. Make sure to write legibly and provide accurate information.

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Move on to the medical history section of the form. Here, you will be asked to provide details about any pre-existing medical conditions, allergies, and previous flu vaccinations. Be honest and thorough in your responses.

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Who needs flu 2015-16 adult influenza?

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The flu 2015-16 adult influenza form is typically required for individuals who are planning to receive the influenza vaccine for the 2015-16 flu season. This includes adult individuals who want to protect themselves from the seasonal flu virus.

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It is recommended to consult with a healthcare provider or refer to local health guidelines to determine if you fall into the category of individuals who need to fill out the flu 2015-16 adult influenza form.

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