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PARENT CONSENT FOR SEASONAL INFLUENZA VACCINATION
FOR CLINIC School
USE ONLY District ID 11001020
Name St. Johns High
STUDENT INFORMATION (use black ink only)
STUDENT FIRST NAMEPLATE OF BIRTH (MM/DD/YYY)//GENDER
MALERACEAmerican
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How to fill out school-based flu vaccination program

How to fill out school-based flu vaccination program
01
Step 1: Obtain the necessary consent forms from parents or guardians.
02
Step 2: Set up a designated area for administering the flu vaccines.
03
Step 3: Prepare the necessary supplies, such as syringes, vaccine vials, alcohol swabs, and band-aids.
04
Step 4: Ensure the vaccines are properly stored and refrigerated according to the manufacturer's instructions.
05
Step 5: Educate the students and parents about the importance and benefits of getting the flu vaccine.
06
Step 6: Schedule the vaccination days and inform the students and parents about the dates.
07
Step 7: Administer the flu vaccines to the students, following proper hygiene and safety protocols.
08
Step 8: Keep accurate records of the students who received the vaccine and any adverse reactions.
09
Step 9: Communicate with parents and healthcare providers about the vaccination program and any follow-up actions.
10
Step 10: Evaluate the effectiveness of the school-based flu vaccination program and make improvements for future programs.
Who needs school-based flu vaccination program?
01
Students attending the school
02
Parents or guardians who provide consent for their child to receive the flu vaccine
03
School staff members who wish to participate in the program
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What is school-based flu vaccination program?
School-based flu vaccination program is a program where flu vaccinations are provided to students at school by healthcare professionals.
Who is required to file school-based flu vaccination program?
School administrators or healthcare providers who are conducting the program are required to file school-based flu vaccination program.
How to fill out school-based flu vaccination program?
The program can be filled out by providing details such as student information, vaccination dates, and vaccine types administered during the program.
What is the purpose of school-based flu vaccination program?
The purpose of the program is to increase flu vaccination rates among school-aged children to prevent the spread of flu in schools.
What information must be reported on school-based flu vaccination program?
Information such as student names, vaccine types administered, vaccination dates, and any adverse reactions must be reported on school-based flu vaccination program.
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