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Get the free PDF DHEC Flu Shot Form.pdf - Berkeley County School District

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2017 Seasonal Influenza Employee Consent for Immunizations Name: First Name: Birth date: (YYY/mm/dd) Employee #: 18Home Facility of work: otherwise: If your date of birth is between 1952/Jan/01 1953/Mar/31,
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The PDF DHEC flu shot refers to a form provided by the South Carolina Department of Health and Environmental Control (DHEC) that is used for reporting influenza vaccinations.
Health care providers and entities that administer flu vaccinations are typically required to file the PDF DHEC flu shot form.
To fill out the PDF DHEC flu shot form, individuals must complete all required fields, including patient information, vaccination details, and provider information, then submit it as per DHEC guidelines.
The purpose of the PDF DHEC flu shot is to track the administration of flu vaccinations and ensure proper documentation for public health monitoring.
Information such as patient name, date of birth, vaccination date, vaccine type, and provider details must be reported on the PDF DHEC flu shot form.
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