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Passport Health is the Nations largest provider of travel medical & immunizations services. www.passporthealthusa.com 18884997277INFLUENZA IMMUNIZATION SCREENING FORM Please complete & sign.

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CT R-390 2013 CT R-391 2014 CT R-394 2013 CT R-7A 2013

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If a question is not clear, please ask your healthcare provider to explain it. No. ... Is the person to be vaccinated sick today? Does the person to be vaccinated have an allergy to eggs or to a component of the vaccine? Has the person to be vaccinated ever had a serious reaction to influenza vaccine in the past?

Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand rub. If you are sick with flu-like symptoms, stay home for at least 24 hours after your fever is gone. * Do not touch your eyes, nose or mouth because germs spread this way.

Influenza is a viral infection that affects mainly the nose, throat, bronchi and, occasionally, lungs. Infection usually lasts for about a week and is characterized by sudden onset of high fever, aching muscles, headache, and severe malaise, non-productive cough, sore throat, and rhinitis.

Influenza (flu) is a common contagious viral respiratory illness that can affect the nose, throat, and lungs. Flu viruses spread mainly by droplets made when people with flu cough, sneeze or talk. Flu illness can vary from mild to severe.

Flu vaccine prevents millions of illnesses and flu-related visits to the doctor each year. CDC recommends everyone 6 months and older get vaccinated every flu season. Children 6 months through 8 years of age may need 2 doses during a single flu season. Everyone else needs only 1 dose each flu season.

(NHJB-2123-P) Form use. This form is used if the person who is named in the will to serve as the executor of an estate or trustee of a testamentary trust does not wish to serve. A declination may not be filed if there are no estate assets.

You do not need a voucher, but you must bring your insurance card. You can download your Yale Health insurance card online (it includes member information and retail pharmacy billing information for flu vaccine on the back side) and go to any retail pharmacy to receive a flu shot.

What is Influenza (Flu)? Flu is a contagious respiratory illness caused by influenza viruses that infect the nose, throat, and sometimes the lungs. It can cause mild to severe illness, and at times can lead to death. The best way to prevent flu is by getting a flu vaccine each year.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232