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ONE MEDICAL CENTREINFLUENZA Immunization CONSENT FORM NAME: STAFF NUMBER: DATE OF BIRTH: STUDENT NUMBER: ADDRESS: HOME PH: WORK PH: ALLERGIES: Please read through and complete this questionnaire.
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How to fill out une medical centre

01
Visit the UNE Medical Centre website.
02
Download and print the patient registration form.
03
Fill out the form with your personal information, including your name, address, and contact details.
04
Provide information about your medical history, including any previous illnesses or surgeries.
05
Indicate any allergies or medical conditions that the medical centre should be aware of.
06
Ensure that the form is complete and accurate.
07
Bring the filled-out form to the UNE Medical Centre during their operating hours.
08
Wait for your turn to see a healthcare professional who will further assist you with your medical needs.

Who needs une medical centre?

01
Anyone who requires medical attention or healthcare services can visit UNE Medical Centre.
02
This includes UNE students, faculty, and staff as well as members of the local community.
03
Whether you need a general check-up, medical advice, or treatment for an illness or injury, UNE Medical Centre is available to assist you.
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Une medical centre is a facility that provides medical services to students at the University of New England.
The staff and healthcare providers at une medical centre are required to file reports and keep records of patient visits.
To fill out une medical centre reports, healthcare providers must document patient information, treatment provided, and any medications prescribed.
The purpose of une medical centre is to provide medical care and support to students in need.
Information that must be reported on une medical centre includes patient demographics, diagnosis, treatment plan, and follow-up care.
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