Get Influenza Screening Form.doc

Filling out the Influenza Screening Form online is a straightforward process designed to ensure your safety and health during vaccination. This guide will provide you with the necessary steps to complete the form accurately and efficiently.

Follow the steps to fill out the Influenza Screening Form online.

1. Click ‘Get Form’ button to access the Influenza Screening Form online. This will allow you to open the document in your preferred editing platform.
2. Begin by reading the introduction and instructions carefully. This section provides essential information regarding the importance of the flu vaccine and the necessity of answering the questions honestly.
3. Next, proceed to the screening questions. For each question, indicate 'yes' or 'no' as applicable. If you answer 'yes' to any question, ensure you discuss it with the nurse.
4. Complete the personal information section by entering your name, age, address, and daytime phone number. Make sure this information is accurate for proper identification.
5. Once all fields are filled out, review your answers to ensure completeness. Pay special attention to any conditions that may affect your eligibility for the vaccine.
6. Sign the form in the designated signature area, confirming that you have read the CDC Vaccine Information Statement and understand the vaccination process.
7. After completing the form, save your changes. You can also download, print, or share the document as needed before handing it over to the nurse at the time of vaccination.

Complete the Influenza Screening Form online today to ensure a smooth vaccination experience.