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Influenza Immunization Consent Form 20222023 PLEASE PRINT CLEARLY form must be completed to receive a flu shot COMPANY NAME: LAST NAME: Gender:FIRST NAME: MF DOB:Other MI: pH#: (if under 18)Address
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How to fill out flu school clinic immunization

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How to fill out flu school clinic immunization

01
Check with your school for the dates and locations of the flu school clinic immunization.
02
Fill out any required forms provided by the school or clinic.
03
Make sure to bring any necessary documents, such as insurance information or consent forms.
04
Arrive at the designated location during the specified clinic hours.
05
Follow any instructions given by the healthcare staff administering the flu vaccine.
06
Wait in the designated area for the specified amount of time after receiving the vaccine.

Who needs flu school clinic immunization?

01
Students who are required by their school or school district to receive the flu vaccine as part of their immunization requirements.
02
Students who have not received the flu vaccine and wish to get vaccinated at the school clinic for convenience.
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Flu school clinic immunization is a program aimed at providing flu vaccines to students in schools to prevent the spread of influenza.
School administrators and healthcare providers are required to file flu school clinic immunization.
The flu school clinic immunization form can be filled out by providing information about the students receiving the vaccine, the date of vaccination, and any adverse reactions.
The purpose of flu school clinic immunization is to protect students from getting the flu and reduce absenteeism.
Information such as student names, dates of birth, vaccination dates, vaccine type, and any adverse reactions must be reported on flu school clinic immunization forms.
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