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Legislative Analysis INFLUENZA IMMUNIZATION POLICY Mitchell Bean, Director Phone: (517) 3738080 http://www.house.mi.gov/hfaHouse Bill 4172 (Substitute H₂) Sponsor: Rep. Robert Jones Senate Bill
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How to fill out influenza immunization policy

01
To fill out the influenza immunization policy, follow these steps:
02
Obtain the influenza immunization policy form from the relevant authority or organization.
03
Read the instructions provided on the form carefully to understand the information required.
04
Fill in your personal details, such as your name, address, and contact information.
05
Provide your medical history related to influenza, including any previous vaccinations or medical conditions.
06
Indicate your consent to receive the influenza immunization by signing and dating the form.
07
Submit the completed form to the designated authority or organization as instructed.
08
Keep a copy of the filled out form for your records.

Who needs influenza immunization policy?

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The influenza immunization policy is typically required for the following individuals:
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- Employees or staff members working in healthcare facilities to ensure patient and staff safety.
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- Students attending educational institutions where influenza immunization is mandatory.
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- Individuals participating in certain activities or events, such as international travel or high-risk environments.
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- Individuals with specific medical conditions or weakened immune systems.
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- Individuals who wish to protect themselves and others from influenza.

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