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Get the free Influenza Vaccine - New York State Department of Health

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INFLUENZA EXEMPTION FORMInfluenza Vaccination Exemption I hereby declare that: I have received the Influenza vaccination for this flu season and have sent record Date Completed: ___Due to religious
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The new influenza vaccine is an updated formulation designed to protect against the most current strains of the influenza virus for the upcoming flu season.
Healthcare providers and organizations that administer the influenza vaccine are required to file necessary documentation regarding the new vaccine.
To fill out the influenza vaccine documentation, providers must include patient information, vaccination date, vaccine lot number, and administering provider's information.
The purpose of the new influenza vaccine is to enhance immune protection against influenza, reduce the risk of complications, and minimize the spread of the virus.
Information such as the patient's name, date of birth, vaccination date, vaccine brand, lot number, and where the vaccine was administered must be reported.
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