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INFLUENZA VACCINATION CONSENT 2018/2019 Please have your CU IMC Student ID ready for SHS staff Students needing documentation for external employment can pick up a copy of your flu consent at the
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Gather all the necessary information and documents required to fill out the CUIMC form.
02
Start by entering your personal details such as your full name, date of birth, and contact information.
03
Fill in the relevant sections regarding your medical history and any previous treatments or surgeries you have undergone.
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Provide information about your current symptoms or complaints that led you to seek medical attention.
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If applicable, include details about any medications you are currently taking or allergies you have.
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Double-check all the entered information for accuracy and make any necessary corrections.
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Once you have completed filling out the CUIMC form, review it one final time to ensure everything is filled out correctly.
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Submit the filled-out form to the appropriate department or healthcare provider.

Who needs please have your cuimc?

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Anyone who is seeking medical attention or services at CUIMC may need to fill out the 'Please have your CUIMC' form.
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This form may be required by new patients, returning patients, or individuals seeking specific healthcare treatments or procedures.
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