Get the free 2017/2018 Flu Vaccine Prebook Form - Moore Medical

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2017/2018 Flu Vaccine Prebook Form ITEM×MANUFACTURER AGE INDICATIONDESCRIPTIONKeep Flu in Your ForecastCONTAINS THIMEROSALORDER HEREMultiDose Vials (5mL)32192Seqirus4 yrs+ TIV density: 32190Seqirus5

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How to fill out 20172018 flu vaccine prebook

01

Start by opening the prebook form for the 2017-2018 flu vaccine.

02

Fill in your personal information, including your name, address, and contact details.

03

Provide your medical information, such as your medical history and any allergies you may have.

04

Indicate the number of doses of the flu vaccine you'd like to order, keeping in mind the recommended dosage for different age groups.

05

Specify any additional requirements or preferences you may have, such as specific manufacturers or formulations.

06

Review the completed form for accuracy and completeness.

07

Submit the form through the designated method, whether it's online submission, mail, or in-person drop-off.

08

Keep a copy of the submitted form for your records.

Who needs 20172018 flu vaccine prebook?

01

The 2017-2018 flu vaccine prebook is recommended for individuals of all ages, particularly those at higher risk for complications from the flu, including:

02

- Adults aged 65 years and older

03

- Young children, especially those under the age of 5

04

- Pregnant women

05

- Individuals with chronic medical conditions

06

- Healthcare workers

07

- Caregivers or household contacts of high-risk individuals

08

It is generally advisable for everyone to get vaccinated to protect themselves and prevent the spread of the flu.

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What is flu vaccine prebook form?

The flu vaccine prebook form is a form used to reserve a specific quantity of flu vaccines from suppliers for healthcare facilities.

Who is required to file flu vaccine prebook form?

Healthcare facilities that plan to administer flu vaccines are required to file the flu vaccine prebook form.

How to fill out flu vaccine prebook form?

To fill out the flu vaccine prebook form, healthcare facilities need to provide information on the quantity of flu vaccines needed, delivery preferences, and other required details.

What is the purpose of flu vaccine prebook form?

The purpose of the flu vaccine prebook form is to ensure that healthcare facilities have an adequate supply of flu vaccines for the upcoming flu season.

What information must be reported on flu vaccine prebook form?

Information such as quantity of flu vaccines needed, delivery preferences, contact information, and billing details must be reported on the flu vaccine prebook form.

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