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20232024 School Based Influenza Vaccine Consent Form Beckley County Health Department Section 1: Information about Student to Receive Influenza Vaccine (please print) STUDENTS NAME (Last)(First)(M.I.)STUDENTS
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01
Check the specific requirements for the school based influenza form for the 2023-2024 school year.
02
Gather all necessary information including student personal details and immunization history.
03
Complete the form accurately and legibly, ensuring all sections are filled out properly.
04
Review the completed form for any errors or missing information before submitting.
05
Submit the filled out form to the relevant school authority or healthcare provider as per the instructions provided.

Who needs 2023-2024 school based influenza?

01
Students attending school during the 2023-2024 academic year.
02
Parents or guardians of students who need to provide proof of influenza vaccination for school attendance.
03
School administrators and healthcare providers responsible for maintaining immunization records and ensuring compliance with school health policies.
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School-based influenza vaccine is a program where influenza vaccines are administered to students in a school setting.
School nurses or healthcare providers are usually responsible for filing school-based influenza vaccine records.
School-based influenza vaccine forms can usually be completed by providing basic student information and obtaining consent from parents or guardians.
The purpose of school-based influenza vaccine is to help prevent the spread of influenza among students and staff in school settings.
Information such as student names, vaccination dates, vaccine types, and consent forms must be reported on school-based influenza vaccine records.
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