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Midland County Health Department
FLU CLINIC RECORD 20222023Please Print
Name:LastFirstDate
of Birth:Middle Int. Age:Sex:Address:___
Telephone: (City:State:County: Female)
Zip Code:ELIGIBILITY INFORMATION
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What is state health department introduces?
State health department introduces new guidelines for reporting infectious diseases.
Who is required to file state health department introduces?
All healthcare facilities and providers are required to file state health department introduces.
How to fill out state health department introduces?
State health department introduces can be filled out online through the department's website.
What is the purpose of state health department introduces?
The purpose of state health department introduces is to track and monitor the spread of infectious diseases.
What information must be reported on state health department introduces?
Information such as the type of disease, number of cases, and location must be reported on state health department introduces.
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