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COMMUNITY HEALTH CENTER OF YAVAPAIFlu and Pneumonia Shot Questionnaire Please provide us with the following information so that your provider can discuss the benefits of getting a seasonal flu or

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What is 13-14 flu-pneumonia consent formdocx?

The 13-14 flu-pneumonia consent formdocx is a document used to obtain consent for flu and pneumonia vaccination.

Who is required to file 13-14 flu-pneumonia consent formdocx?

Parents or guardians of minors and individuals receiving flu and pneumonia vaccinations are required to file the form.

How to fill out 13-14 flu-pneumonia consent formdocx?

The form must be completed with personal information, vaccination consent details, and signed by the parent/guardian or individual before submission.

What is the purpose of 13-14 flu-pneumonia consent formdocx?

The purpose of the form is to ensure that individuals receive consented flu and pneumonia vaccinations in a healthcare setting.

What information must be reported on 13-14 flu-pneumonia consent formdocx?

The form requires personal details, medical history, vaccination type, consent statement, and signature.

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