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PUBLIC HEALTH ADULT ONLY INFLUENZA VACCINE 202122 Immunization Screening and ConsentRevised 8.25.2021Last name ___First name ___Middle name___ Address: ___City:___State___Zip___ Date of Birth: ___

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Step 1: Obtain the department of physical therapy form from the appropriate institution or website

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Individuals who require physical therapy treatment for injuries, illnesses, or rehabilitation purposes

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What is department of physical formrapy?

The department of physical formrapy is a regulatory body that oversees the practice of physical therapy.

Who is required to file department of physical formrapy?

Physical therapists are required to file department of physical formrapy.

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You can fill out department of physical formrapy online or by submitting a hard copy form.

What is the purpose of department of physical formrapy?

The purpose of department of physical formrapy is to ensure that physical therapists are practicing safely and ethically.

What information must be reported on department of physical formrapy?

Information such as contact details, education, work experience, and any disciplinary actions must be reported on department of physical formrapy.

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