Flu Shot Template - Is the person to be vaccinated sick today or had a fever of greater than 100.4°f in the last 24. The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu. I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am.
The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. Is the person to be vaccinated sick today or had a fever of greater than 100.4°f in the last 24. Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu. I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am.
Is the person to be vaccinated sick today or had a fever of greater than 100.4°f in the last 24. I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am. The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu.
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The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am. Each year a new flu vaccine is made.
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I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am. Is the person to be vaccinated sick today or had a fever of greater than 100.4°f in the last 24. Each year a new flu vaccine is made to protect against.
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Is the person to be vaccinated sick today or had a fever of greater than 100.4°f in the last 24. The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. I hereby consent to the administration of the flu vaccine for which i have signed below be.
Flu shot clinic (WCSU faculty, staff and students only) News & Events
The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. Is the person to be vaccinated sick today or had a fever of greater than 100.4°f in the last 24. I hereby consent to the administration of the flu vaccine for which i have signed below be.
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The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu. Is the person to be vaccinated sick today or had a fever.
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Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu. The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. I hereby consent to the administration of the flu vaccine for which.
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I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am. Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu. The information you provide to complete.
DriveThru Flu Clinic for StudentsCypress College
Is the person to be vaccinated sick today or had a fever of greater than 100.4°f in the last 24. The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. I hereby consent to the administration of the flu vaccine for which i have signed below be.
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I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am. Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu. Is the person to be vaccinated.
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I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am. Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu. The information you provide to complete.
Each Year A New Flu Vaccine Is Made To Protect Against The Influenza Viruses Believed To Be Likely To Cause Disease In The Upcoming Flu.
Is the person to be vaccinated sick today or had a fever of greater than 100.4°f in the last 24. The information you provide to complete this form indicates you understand the benefits and risks of receiving the influenza vaccine, as indicated in. I hereby consent to the administration of the flu vaccine for which i have signed below be given to me or the person named above for whom i am.