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2013-2014 FLU VACCINE CONSENT MONA www.MVNA.org Clinic Number: 30244 Clinic Location: Wayzata Schools Date:FRI.,10/11/2013 PRINT IN INK ONLY- REQUIRED INFORMATION FOR CLIENT RECEIVING VACCINE (Legal
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Start by locating the section on the form that asks for the clinic number. It is usually found at the top or in a designated box.
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Who needs clinic number 30244:
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Clinic number 30244 may be required by individuals who are seeking medical services or treatments from a specific clinic or healthcare facility.
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What is clinic number 30244?
Clinic number 30244 is a unique identification number assigned to a specific medical facility.
Who is required to file clinic number 30244?
All medical facilities designated with clinic number 30244 are required to file relevant information with the appropriate authorities.
How to fill out clinic number 30244?
Clinic number 30244 must be filled out with accurate and up-to-date information regarding the medical facility it corresponds to.
What is the purpose of clinic number 30244?
The purpose of clinic number 30244 is to track and monitor activities, services, and compliance of the medical facility it is assigned to.
What information must be reported on clinic number 30244?
Information such as patient demographics, services provided, staffing details, and financial data may need to be reported on clinic number 30244.
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