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Edenic-Light Integrative Family Life Care c/o 3695F Cascade rd #117, Atlanta Ga. 30331 Phone; 678-592-7289 fax 1-866-357-6267 www.edenic-light.com Medical History Form(Flu Pandemic Form Only) For
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Who needs flu pandemic form:

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Individuals who have been diagnosed with flu-like symptoms and are seeking medical attention may be required to fill out a flu pandemic form.
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The flu pandemic form is a document used to collect information about flu outbreaks and monitor the spread of the virus.
Healthcare facilities, laboratories, and public health agencies are required to file flu pandemic forms.
Flu pandemic forms can be filled out electronically or manually, with information on the number of cases, locations, and severity of the flu outbreak.
The purpose of the flu pandemic form is to track and monitor flu outbreaks in order to implement appropriate public health measures.
Information such as the number of flu cases, locations, age groups affected, and any related complications must be reported on the flu pandemic form.
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