Fit to fly certificate format word 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the mandatory sections clearly. Start with the 'Patient Name' field, entering the last name followed by the first name.
3. Next, provide the 'Date of Birth' in mm/dd/yy format and indicate the patient's age.
4. Select the appropriate 'Origin of Sample' by checking one of the options provided, such as 'HOSPITALIZED (with Influenza-Like Illness)'.
5. Complete the 'Patient County of Residence' and 'Patient State of Residence' fields accurately.
6. Choose a specimen source/site from the list provided, ensuring you check only one option.
7. Fill in any optional information if applicable, such as physician details and provider contact information.

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