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Indian Health Services Pinon Health Center P.O. Box 10 Pinon, AZ 86510DEPARTMENT OF HEALTH & HUMAN SERVICESConsent Form: 20182019 Seasonal Influenza (Flu) Vaccine for Students School: Grade: Teacher:
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Pinon Health Center is a medical facility located in Pinon, providing healthcare services to the community.
All individuals who have received medical services from Pinon Health Center are required to file.
To fill out Pinon Health Center, individuals need to provide their personal information and details of the medical services received.
The purpose of Pinon Health Center is to track and maintain medical records of patients for better healthcare management.
Information such as personal details, medical history, treatments received, medications prescribed, and follow-up appointments must be reported on Pinon Health Center.
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