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Ma 16293 2026
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- Click ‘Get Form’ to open the ma 16293 in the editor.
- Begin by filling out the 'Facility Name' and 'Address' sections. Ensure all details are accurate, including city, state, and ZIP code.
- In the 'Facility Type' section, select the appropriate option such as 'Assisted Living' or specify another type if necessary.
- Complete the 'Vaccine Information' fields by entering the number of clients and staff vaccinated against influenza.
- For 'Cluster Information', document any ill clients and staff, noting symptoms and onset dates. Be thorough in reporting any hospitalizations.
- In the 'Laboratory Information' section, indicate whether lab testing has been done and provide results for tested individuals.
- Finally, confirm that control measures have been implemented and notify your licensing agency as required before submitting the form.
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