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Pharmacy Outreach Immunization Worksheet for 20232024 Season Instructions for Congregate Care Facility: Complete first section (Facility Information) and send to your Pharmacy Provider(s). Facility
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How to fill out pharmacy imm outreach worksheet

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How to fill out pharmacy imm outreach worksheet

01
Gather all necessary information such as patient demographics, insurance information, and medications.
02
Follow the provided guideline for completing the worksheet accurately.
03
Fill out the sections for the patient's immunization history, including dates and types of vaccines received.
04
Include any relevant notes or comments about the patient's vaccination status.
05
Double check all the information before submitting the completed worksheet.

Who needs pharmacy imm outreach worksheet?

01
Pharmacists and pharmacy staff members who are responsible for administering vaccines and maintaining accurate immunization records.
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The pharmacy imm outreach worksheet is a document used to track and report immunization outreach activities conducted by pharmacies.
Pharmacies that provide immunization services are required to file the pharmacy imm outreach worksheet.
Pharmacists need to document all immunization outreach activities, including the date, type of activity, participants, and outcomes.
The purpose of the pharmacy imm outreach worksheet is to ensure that pharmacies are conducting immunization outreach activities and reporting them accurately.
The worksheet must include details of each outreach activity, such as the date, location, type of activity, number of participants, and any follow-up actions.
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