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Patients Name: ___ Date of Birth: ___Age: ___ Screening Questionnaire for Influenza Vaccination Please circle one answer to the following questions. Did the person to be vaccinated have seasonal influenza

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How to fill out atriumhealthorgdocumentscabarruspediatricsscreening questionnaire for live

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Visit the atriumhealth.org website

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Navigate to the documents section

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Fill out the form with accurate information

Who needs atriumhealthorgdocumentscabarruspediatricsscreening questionnaire for live?

01

Parents or guardians of pediatric patients visiting Cabarrus Pediatrics

02

Healthcare providers at Cabarrus Pediatrics

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What is atriumhealthorgdocumentscabarruspediatricsscreening questionnaire for live?

The screening questionnaire is a tool used to assess the health status of pediatric patients at Cabarrus Pediatrics.

Who is required to file atriumhealthorgdocumentscabarruspediatricsscreening questionnaire for live?

Parents or guardians of pediatric patients at Cabarrus Pediatrics are required to fill out the screening questionnaire.

How to fill out atriumhealthorgdocumentscabarruspediatricsscreening questionnaire for live?

The questionnaire can be filled out online through the Atrium Health portal or in person at Cabarrus Pediatrics.

What is the purpose of atriumhealthorgdocumentscabarruspediatricsscreening questionnaire for live?

The purpose is to gather important health information about pediatric patients to ensure they receive appropriate care and treatment.

What information must be reported on atriumhealthorgdocumentscabarruspediatricsscreening questionnaire for live?

The questionnaire asks for details about the child's medical history, current symptoms, and any medications they are taking.

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