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Influenza Vaccine Order Form
for the Universal Influenza
Immunization ProgramMinistry of Health
and Longer Care
Public Health Policy and
Programs Branchlike your influenza vaccine order by completing
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How to fill out influenza - dpbh
How to fill out influenza - dpbh
01
Obtain a flu vaccine consent form from your healthcare provider or local health department.
02
Fill out all required personal information, such as name, date of birth, and address.
03
Answer any health-related questions on the form honestly and accurately.
04
Review the form for completeness and make sure all sections are filled out correctly.
05
Submit the completed form to your healthcare provider or local health department to receive the influenza vaccine.
Who needs influenza - dpbh?
01
Influenza vaccine - dpbh is recommended for anyone aged 6 months and older who wants to reduce their risk of getting the flu.
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What is influenza - dpbh?
Influenza - dpbh stands for Influenza Data Point Based Reporting, which is a system used to collect and track data related to influenza cases.
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