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Clinic Identification
NumberCHILD FLU ADMINISTRATION RECORDInformation collected on this form will be used to document authorization of receipt of vaccine(s).
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What is child flu administration record?
The child flu administration record is a document used to track when a child receives a flu vaccine.
Who is required to file child flu administration record?
Healthcare providers, schools, and childcare facilities are required to file child flu administration records.
How to fill out child flu administration record?
The child flu administration record should be filled out with the child's name, date of vaccination, type of vaccine, dosage, and administering healthcare provider.
What is the purpose of child flu administration record?
The purpose of the child flu administration record is to ensure that children are receiving the necessary flu vaccinations and to track vaccination rates.
What information must be reported on child flu administration record?
The child's name, date of vaccination, type of vaccine, dosage, and administering healthcare provider must be reported on the child flu administration record.
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