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How to fill out influenza and pneumococcal roster

How to fill out influenza and pneumococcal roster

1. To fill out the influenza roster, follow these steps:
2. Obtain the influenza roster form from your healthcare provider or download it from a reputable source.
3. Read the instructions carefully to ensure you understand the information needed.
4. Fill in your personal details such as name, age, date of birth, and contact information.
5. Provide accurate medical history and disclose any pre-existing conditions you may have.
6. Answer the questions regarding your vaccination status, including previous influenza vaccines received.
7. If applicable, provide information about any allergies or adverse reactions to vaccines.
8. Review the completed form for accuracy and completeness before submitting it.
9. Submit the filled out influenza roster form to your healthcare provider or the designated authority.
10. To fill out the pneumococcal roster, follow these steps:
11. Obtain the pneumococcal roster form from your healthcare provider or download it from a reputable source.
12. Familiarize yourself with the instructions to ensure you understand the required information.
13. Fill in your personal details such as name, age, date of birth, and contact information.
14. Provide accurate medical history and disclose any relevant pre-existing conditions.
15. Answer the questions pertaining to your vaccination history, including previous pneumococcal vaccines received.
16. If applicable, provide information about any known allergies or adverse reactions to vaccines.
17. Thoroughly review the completed form to verify its accuracy and completeness.
18. Submit the filled out pneumococcal roster form to your healthcare provider or the designated authority.

Who needs influenza and pneumococcal roster?

1. Influenza and pneumococcal rosters are typically needed by individuals who meet certain criteria:
2. - Influenza roster: Anyone who wishes to receive an influenza vaccine or is required to provide vaccination status, such as healthcare workers, students, or individuals traveling to certain regions.
3. - Pneumococcal roster: Individuals at increased risk of pneumococcal diseases, such as older adults (especially those aged 65 and above), individuals with certain medical conditions (e.g., chronic diseases, weakened immune system), or those recommended by healthcare professionals.
4. It is important to consult with your healthcare provider or local health authority to determine if you need to fill out these rosters based on your specific circumstances.

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