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Phone: 734.764.0092
Email: umsn_undergradcompliance@med.umich.eduVERIFICATION OF SEASONAL FLU SHOT ADMINISTRATION
TO BE FILLED OUT BY THE STUDENT
First NameUniqnameLast Name iPhone Humberto BE FILLED
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How to fill out verification of seasonal flu
How to fill out verification of seasonal flu
01
Fill out basic personal information such as name, date of birth, address, and contact information.
02
Provide details of any symptoms you are experiencing, such as coughing, fever, or body aches.
03
Include information about any recent travel or contact with individuals who have tested positive for the flu.
04
Sign and date the verification form to certify the accuracy of the information provided.
Who needs verification of seasonal flu?
01
Individuals who are required to provide proof of flu vaccination for work or school.
02
Travelers who may need to show verification of flu vaccination when entering certain countries.
03
Individuals participating in high-risk activities or events where the risk of flu transmission is elevated.
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What is verification of seasonal flu?
Verification of seasonal flu is a documentation process to confirm that an individual has received the seasonal flu vaccine.
Who is required to file verification of seasonal flu?
Verification of seasonal flu is typically required to be filed by healthcare providers, employers, schools, or organizations that mandate the flu vaccine.
How to fill out verification of seasonal flu?
Verification of seasonal flu can be filled out by providing the individual's name, date of vaccination, type of vaccine received, and signature of the healthcare provider or organization.
What is the purpose of verification of seasonal flu?
The purpose of verification of seasonal flu is to ensure compliance with vaccination requirements and to track immunization rates.
What information must be reported on verification of seasonal flu?
Information such as the individual's name, date of vaccination, type of vaccine received, and signature of the healthcare provider or organization must be reported on verification of seasonal flu.
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