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Publix Flu Shot Form

Publix Flu Shot Form

Use a publix flu shot template to make your document workflow more streamlined.

To chicken eggs or egg product Have you ever had a serious reaction after receiving a vaccination Have you ever been diagnosed with Guillain-Barre syndrome Do you have a seizure brain or nerve problem Do you have a weakened immune system because of HIV/AIDS or another disease that affects the immune system long-term treatment with drugs such as high-dose steroids or cancer treatment with radiation or drugs Do you live with or expect to have close contact with a person whose immune system is...
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Quick steps to complete and design Publix flu shot appointment online:

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  3. Use the Cross or Check marks in the top toolbar to select your answers in the list boxes.
  4. Utilize the Circle icon for other Yes/No questions.
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  10. Check the Help section and contact our Support team if you run into any issues while using the editor.

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