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STUDENT/FACULTY INFLUENZA VACCINE Brook dale Community College Student/Faculty Name: ID # Course/Section # PROGRAM: Influenza Facts for all to know: Influenza is a serious disease. More than 200,000
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Step 1: Obtain a copy of the student/faculty influenza vaccine form from Brookdale.
02
Step 2: Fill out your personal information accurately, including your full name, date of birth, and contact information.
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Step 3: Answer all the health-related questions on the form honestly.
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Step 4: Provide your consent for receiving the influenza vaccine by checking the designated box.
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Step 5: Sign and date the form at the bottom to certify your information and consent.
06
Step 6: Submit the completed form to the designated vaccine administration location at Brookdale.

Who needs studentfaculty influenza vaccine brookdale?

01
All students and faculty members at Brookdale need to fill out the student/faculty influenza vaccine form.
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Studentfaculty influenza vaccine brookdale is a vaccination program offered at Brookdale University to protect students and faculty members from influenza.
All students and faculty members at Brookdale University are required to file for the influenza vaccine.
To fill out the studentfaculty influenza vaccine brookdale, individuals must visit the university health center or designated vaccination site and complete the necessary forms.
The purpose of the studentfaculty influenza vaccine brookdale is to prevent the spread of influenza among the university community and promote a healthy campus environment.
The studentfaculty influenza vaccine brookdale form typically requires information such as name, student/faculty ID, vaccination date, and any previous influenza vaccinations.
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