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School Consent for 2009 H1N1 Influenza Intranasal Vaccine Section 1: Information about Child to Receive Vaccine (PLEASE PRINT CLEARLY) STUDENT S NAME (Last) (First) (M.I.) PARENT / LEGAL GUARDIAN
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Who needs the h1n1-mist-laiv-consent-form - dda:

The h1n1-mist-laiv-consent-form - dda is typically required by individuals who are planning to receive the H1N1 mist LAIV (live attenuated influenza vaccine). This may include:
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Individuals at higher risk for severe illness or complications from H1N1 influenza, such as young children, the elderly, pregnant women, or individuals with certain medical conditions.
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Healthcare workers or individuals who work in settings where there is an increased risk of exposure to H1N1 influenza.
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Individuals who are required or recommended to receive the H1N1 vaccine due to local regulations, guidelines, or recommendations from healthcare authorities.
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The h1n1-mist-laiv-consent-form - dda is a consent form for administering the H1N1 nasal spray vaccine.
Parents or guardians of children who are eligible to receive the H1N1 nasal spray vaccine are required to fill out the h1n1-mist-laiv-consent-form - dda.
The h1n1-mist-laiv-consent-form - dda can be filled out by providing personal information about the child and signing the consent section.
The purpose of the h1n1-mist-laiv-consent-form - dda is to obtain consent from parents or guardians for administering the H1N1 nasal spray vaccine to their child.
The h1n1-mist-laiv-consent-form - dda requires information such as the child's name, date of birth, medical history, and parental contact information.
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