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1948 Wiltshire Road, Suite 1 Kernersville, WV, 25430 Phones: 3047288416 Fax: 3047283319 www.jchealthdept.org David Hidden, M.D. Physician Director Seasonal Influenza Vaccination Consent/Administration
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Step 1: Start by writing the patient's first name in the designated space.
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What is patient's name?
Patient's name refers to the name of the individual receiving medical treatment.
Who is required to file patient's name?
Healthcare providers and medical facilities are required to document and file patient's name.
How to fill out patient's name?
Patient's name should be filled out accurately and completely on medical forms or records.
What is the purpose of patient's name?
The purpose of recording patient's name is to accurately identify the individual receiving medical care.
What information must be reported on patient's name?
Patient's full legal name, including first name, middle name, and last name, must be reported.
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