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ARKANSAS DEPARTMENT OF HEALTH INFLUENZA SEASON IMMUNIZATION CONSENT Former ADH use only ADH Clinic Code: ___ School LEA #: ___ Date of Service: ___ School Name: ___ School Grade: ___ ___Person Receiving
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Anyone residing in Arkansas who requires health-related services, such as medical assistance, immunizations, public health information, birth or death certificates, health inspections, emergency preparedness, health statistics, or any other health-related program, may need to utilize the services offered by the Arkansas Department of Health.
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The Arkansas Department of Health (ADH) is a government agency responsible for protecting the health and well-being of the residents of Arkansas.
Healthcare facilities, healthcare providers, and anyone else required by state regulations are required to file the Arkansas Department of Health forms.
The Arkansas Department of Health forms can be filled out online through the ADH website or by submitting paper forms via mail.
The purpose of the Arkansas Department of Health is to monitor and promote public health, prevent disease outbreaks, and ensure the health and safety of the community.
The Arkansas Department of Health forms typically require information such as patient demographics, medical history, and treatment information.
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