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201819 School Based Influenza Vaccine Consent Form School Name Section 1: Information about Student to Receive Influenza Vaccine (please print clearly) STUDENTS NAME (Last)(First)(M.I.)(Nickname)STUDENTS
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How to fill out 2018-19 school based influenza

How to fill out 2018-19 school based influenza
01
Step 1: Obtain the 2018-19 school based influenza form from your child's school.
02
Step 2: Fill out the personal information section accurately, including your child’s name, date of birth, and contact information.
03
Step 3: Complete the medical history section by providing details of any pre-existing medical conditions or allergies your child may have.
04
Step 4: Answer the mandatory questions regarding your child's immunization status and any flu symptoms they may currently be experiencing.
05
Step 5: Sign and date the form to certify the accuracy of the information provided.
06
Step 6: Return the completed form to your child's school before the specified deadline.
Who needs 2018-19 school based influenza?
01
The 2018-19 school-based influenza form is required for all students attending school during the influenza season.
02
It is essential for parents or guardians of school-age children to fill out this form to ensure the school can take appropriate measures in preventing the spread of influenza among students.
03
Even if your child has already received a flu vaccine, the form is still mandatory as it helps maintain accurate records and facilitates better monitoring of the overall health of the school community.
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What is 19 school based influenza?
19 school based influenza refers to influenza cases reported by schools to public health authorities for monitoring and tracking purposes.
Who is required to file 19 school based influenza?
School administrators or designated staff members are required to file 19 school based influenza reports.
How to fill out 19 school based influenza?
To fill out 19 school based influenza reports, schools need to provide information on the number of influenza cases among students and staff, as well as any related symptoms or complications.
What is the purpose of 19 school based influenza?
The purpose of 19 school based influenza reporting is to monitor and track influenza activity in schools, detect outbreaks, and implement control measures to prevent further spread.
What information must be reported on 19 school based influenza?
Information such as the number of influenza cases, symptoms, complications, and demographic data of affected individuals must be reported on 19 school based influenza forms.
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