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Inebilizumabcdon (Uplink) Order Form FAX to 1 (888) 7974008PATIENT INFORMATION Patient Name:DOB:Address: City:State:Zip code:Patients phone number: Is patient a Wayne Health patient registered in
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How to fill out wwwcanadacaenpublic-healthvaccines for covid-19

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Visit the website www.canada.ca/en/public-health/vaccines for COVID-19.
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Find the section related to COVID-19 vaccine information.
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Read the guidelines and eligibility criteria for getting the vaccine.
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wwwcanada.ca/en/public-health/vaccines for covid-19 provides information on COVID-19 vaccination in Canada.
Individuals seeking COVID-19 vaccination in Canada may need to fill out wwwcanada.ca/en/public-health/vaccines.
To fill out wwwcanada.ca/en/public-health/vaccines for covid-19, individuals need to provide personal information and vaccination status.
The purpose of wwwcanada.ca/en/public-health/vaccines for covid-19 is to track COVID-19 vaccination coverage in Canada.
Information such as name, date of birth, vaccination date, and type of vaccine received must be reported on wwwcanada.ca/en/public-health/vaccines.
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