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Naugatuck Valley Health District Influenza Vaccine Consent Form (202021) Please Print Clearly Last NameFirst Backstreet Address. I. Telephone #Date of Birth (Month/Day/Year)AgeStateGender (circle

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What is naugatuck valley health district?

Naugatuck Valley Health District (NVHD) is a regional health department serving the towns of Ansonia, Beacon Falls, Derby, Naugatuck, Seymour, and Shelton.

Who is required to file naugatuck valley health district?

All businesses and organizations operating within the jurisdiction of NVHD are required to file.

How to fill out naugatuck valley health district?

The NVHD forms can be filled out online or submitted in person at their office.

What is the purpose of naugatuck valley health district?

The purpose of NVHD is to protect and promote the health of the community by enforcing health codes and regulations.

What information must be reported on naugatuck valley health district?

Business name, address, contact information, type of operation, and compliance with health regulations.

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