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Flu shot FREE to State Employees Flu shot also FREE to - cbc arizona

Flu shot FREE to State Employees Flu shot also FREE to - cbc arizona 2025

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The document is a consent form for receiving influenza and pneumonia vaccines, outlining eligibility criteria, potential side effects, and the benefits of vaccination. It emphasizes that individuals with certain medical histories should not receive the vaccines and provides details about the vaccine strains for the 2012-2013 season. The form also includes information on costs, insurance coverage, and privacy practices in accordance with HIPAA regulations.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the designated field labeled 'NAME – LAST, FIRST, MIDDLE INITIAL'. Ensure accuracy for identification purposes.
Provide your EIN or SSN in the corresponding field. This information is crucial for processing your request.
Select your current health insurance carrier from the options provided. If your carrier is not listed, write it in the 'Other' section.
Indicate your sex (M/F) and fill out the name of the primary insured if applicable.
Complete the daytime phone number and work address fields accurately to ensure effective communication.
For minors under 18, fill out their information in the specified section, including age and home address.
Finally, review all entered information for accuracy before signing and dating at the bottom of the form.

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Are flu shots free in Arizona?

Anyone 6 months and older can receive free flu shots at one of our immunization clinics on weekdays (Monday-Friday) by making an appointment.

Are flu shots supposed to be free?

Flu vaccines for people ages 65 and older are more expensive than those for younger people. Free and low-cost flu vaccines may be available from health centers and state health departments for those who qualify. Otherwise, a free GoodRx discount can help lower costs.

Who gets the flu vaccine for free?

You can get the free NHS flu vaccine if you: are aged 65 or over (including those who will be 65 by 31 March 2026) have certain long-term health conditions. are pregnant.