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APPENDIX C SASKATCHEWAN RSV PROPHYLAXIS PROGRAM REFERRAL: Medical Justification for Other Category 20172018 RSV SeasonAddressographDate: ADDITIONAL INFORMATION REQUIREDPLEASE PRINTPlease addressograph
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How to fill out saskatchewan rsv prophylaxis

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To fill out Saskatchewan RSV prophylaxis, follow these steps:
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Obtain the necessary forms or documents for the Saskatchewan RSV prophylaxis.
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Fill in the required personal information, such as name, date of birth, and address.
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Provide relevant medical history and any existing respiratory conditions.
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Complete the immunization schedule based on the recommended dosage and timing.
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Submit the filled-out Saskatchewan RSV prophylaxis form to the appropriate healthcare provider or agency.
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Follow any additional instructions or guidelines provided by the healthcare provider.

Who needs saskatchewan rsv prophylaxis?

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Saskatchewan RSV prophylaxis is typically recommended for certain individuals who are at high risk of severe respiratory syncytial virus (RSV) infection. These include:
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- Premature infants born before 29 weeks of gestation
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- Infants with chronic lung disease or congenital heart disease
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- Infants with certain medical conditions that affect their immune system
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- Infants with Down syndrome
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- Infants with neuromuscular disorders
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- Infants who require medical interventions that may increase the risk of RSV infection
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- Infants with certain other risk factors as determined by a healthcare provider.
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It is important to consult with a healthcare provider to determine if RSV prophylaxis is necessary for a particular individual.
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Saskatchewan RSV prophylaxis is a preventive treatment to protect high-risk individuals from respiratory syncytial virus (RSV) infection.
Healthcare providers and facilities are required to file Saskatchewan RSV prophylaxis for patients who meet the criteria for prophylactic treatment.
To fill out Saskatchewan RSV prophylaxis, healthcare providers need to follow the guidelines provided by the Saskatchewan Ministry of Health.
The purpose of Saskatchewan RSV prophylaxis is to prevent severe RSV infection in high-risk individuals, such as premature infants and individuals with certain medical conditions.
Information such as patient demographics, medical history, and reasons for receiving prophylactic treatment must be reported on Saskatchewan RSV prophylaxis.
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