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HEALTH SCREEN & PERMISSION FORM Influenza Vaccine 20122013 Full Name:Date of Birth:Street Address:/ / Town/City:Grade:Teacher:Age:School:Gender: Flip Code:Daytime Phone:School Administrative Unit
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Gather all the necessary information and documents required to fill out the Oregon Health Authority flu form.
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Start by providing your personal information such as your name, address, date of birth, and contact information.
03
Answer the questions regarding your medical history and any pre-existing conditions.
04
Provide details about your vaccination history, including the dates of previous flu shots.
05
Follow the instructions to indicate whether you are eligible for free or discounted flu shots.
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Review and double-check all the information you have entered before submitting the form.
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Submit the completed Oregon Health Authority flu form through the designated method, such as online submission or mailing it to the appropriate address.
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Keep a copy of the form for your records and follow any further instructions provided by the Oregon Health Authority.

Who needs oregon health authority flu?

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Anyone who wants to protect themselves and others from the flu can benefit from the Oregon Health Authority flu program.
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High-risk individuals, such as young children, the elderly, pregnant women, and those with chronic health conditions, are particularly recommended to get vaccinated.
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Healthcare workers, caregivers, and people who have close contact with at-risk individuals should also consider getting the flu shot through the Oregon Health Authority.
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Ultimately, it is advisable for everyone eligible to receive the flu vaccine as it helps in reducing the spread of flu viruses and minimizes the impact of the flu on individuals and communities.
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Oregon Health Authority flu refers to the flu-related reporting requirements and health monitoring conducted by the Oregon Health Authority to track influenza cases and manage public health.
Healthcare providers, hospitals, and labs in Oregon are required to file reports related to flu cases to the Oregon Health Authority.
To fill out the Oregon Health Authority flu report, one must gather relevant patient information, complete the specific reporting form provided by the authority, and submit it electronically or as instructed.
The purpose of Oregon Health Authority flu reporting is to monitor influenza activity, manage outbreaks, and inform public health responses and vaccinations.
The information that must be reported includes patient demographics, symptoms, diagnosis, testing results, and vaccination status.
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