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Do you want your child to receive Flu vaccination at school? Lenoir NO DO NOT COMPETE THIS FORM! Every section of this form is required.SCHOOLGRADEPatient Information Last NameFirst Name, Middle InitialSuffixComplete

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How to fill out influenza flu - illinois

01

Obtain the influenza flu vaccine form from a healthcare provider or clinic in Illinois.

02

Fill out your personal information, such as name, date of birth, and contact information.

03

Provide information about your medical history, including any allergies or prior reactions to vaccines.

04

Answer any questions about your current health status or symptoms.

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Review the form for accuracy and completeness before submitting it to the healthcare provider or clinic.

Who needs influenza flu - illinois?

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Individuals living in Illinois who want to protect themselves and others from the flu virus.

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People who are at high risk for complications from the flu, such as young children, elderly adults, pregnant women, and individuals with chronic medical conditions.

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What is influenza flu - illinois?

Influenza flu in Illinois refers to the requirement for healthcare providers to report cases of influenza to the Illinois Department of Public Health.

Who is required to file influenza flu - illinois?

Healthcare providers in Illinois are required to file reports of influenza flu cases.

How to fill out influenza flu - illinois?

Healthcare providers can fill out the influenza flu report online through the Illinois Department of Public Health's reporting portal.

What is the purpose of influenza flu - illinois?

The purpose of reporting influenza flu cases in Illinois is to track the spread of the flu virus and monitor public health trends.

What information must be reported on influenza flu - illinois?

Healthcare providers must report demographic information, symptoms, laboratory test results, and treatment provided for each influenza flu case.

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