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Flu and Pneumonia Vaccine Informed Consent Form Buckley's Drug Store 35 E. Palisade Ave. Englewood, NJ 07631www.buckles. Comcast Name.(Print) Medicare: 2015691345 Fax: 2015685354 Cash Ar First Name

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How to fill out flu and pneumonia vaccine

01

Step 1: Locate a healthcare provider or a vaccination clinic near you.

02

Step 2: Make an appointment or check if walk-in vaccinations are available.

03

Step 3: When you visit the healthcare provider or clinic, bring your identification and insurance information.

04

Step 4: Inform the healthcare provider about any allergies or medical conditions you have.

05

Step 5: Follow the instructions of the healthcare provider as they administer the flu and pneumonia vaccines.

06

Step 6: After receiving the vaccines, wait for the recommended observation period.

07

Step 7: Follow any post-vaccination care instructions provided by the healthcare provider.

08

Step 8: Keep track of when you received the vaccines for future reference.

09

Step 9: Consider getting annual flu shots and follow the recommended vaccine schedule for pneumonia.

Who needs flu and pneumonia vaccine?

01

Flu vaccine: In general, anyone above the age of 6 months should receive an annual flu vaccine. However, it is particularly important for certain groups of people, including pregnant women, children aged 6 months to 5 years, adults aged 65 years and older, individuals with chronic health conditions, healthcare workers, and caregivers of high-risk individuals.

02

Pneumonia vaccine: Pneumococcal vaccines are recommended for infants, young children, adults aged 65 years and older, individuals with certain chronic medical conditions, individuals with weakened immune systems, and individuals who smoke or have asthma.

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