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20202021 Flu Vaccination Patient Consent Form Please complete and return this form (PLEASE PRINT) Patient Last Name:Patient First Name:DOB: ___ / ___ / ___AGE:Please answer each question below. These
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It is a document related to reporting influenza data for the year 2020.
Healthcare providers and facilities are required to file the dalton-magov wp-content uploads2020- influenza.
The form can typically be filled out online or submitted electronically through the designated reporting system.
The purpose is to track and monitor influenza cases in a given year for public health reasons.
Information such as number of influenza cases, demographics of patients, severity of cases, and any related hospitalizations may need to be reported.
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