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Get the free (Flu) Vaccine - University of Colorado Denver

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PLEASE PRINT SEASONAL INFLUENZA VACCINATION CONSENT 2016 2017 PRINTED Name DOB Medical Record Number Address: Phone () Consent for Influenza Vaccine I have been given an opportunity to read the CDC
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Provide details about your university, such as the name, address, and contact information.
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Getting vaccinated helps prevent the spread of influenza within the university community and protects vulnerable individuals.
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Flu vaccine - university refers to the influenza vaccination required for individuals attending or working at a university.
All students, faculty, and staff at the university are typically required to file proof of receiving the flu vaccine.
Individuals can usually fill out the flu vaccine form online or submit a copy of their vaccination record to the university health services.
The purpose of flu vaccine - university is to help prevent the spread of influenza on campus and protect the health of students, faculty, and staff.
The information typically required on the flu vaccine form includes the individual's name, date of vaccination, and the type of vaccine received.
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