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Community Care Physicians 20222023 Flu Season Questionnaire COVID-19 Screening Questionnaire you're currently experiencing any of the following symptoms? (Y/N) Fever or chill Cough Shortness of breath

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How to fill out flu screening form 2022

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Start by reading the instructions on the flu screening form to understand the requirements.

02

Provide accurate personal information such as name, date of birth, and contact details.

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Answer all relevant questions about your health and any symptoms you may be experiencing.

04

Disclose any recent travel history or contact with individuals who have tested positive for the flu.

05

Sign and date the form to certify that the information provided is true and accurate.

Who needs flu screening form 2022?

01

Anyone experiencing flu-like symptoms or seeking medical advice related to the flu should fill out the flu screening form 2022.

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What is flu screening form?

Flu screening form is a document used to collect information about an individual's flu symptoms, exposure to the flu virus, and recent travel history.

Who is required to file flu screening form?

Individuals who exhibit flu-like symptoms or have been in close contact with someone who has the flu are required to file a flu screening form.

How to fill out flu screening form?

To fill out a flu screening form, individuals need to provide information about their symptoms, recent travel history, and contact with others who have the flu.

What is the purpose of flu screening form?

The purpose of a flu screening form is to help healthcare professionals assess the risk of flu transmission and provide appropriate care to individuals who may be infected.

What information must be reported on flu screening form?

Information such as symptoms, travel history, and contact with flu-infected individuals must be reported on a flu screening form.

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