fist tap CNuI (Physician's name, degree)_________________________, _____ am a physician licensed to practice medicine in the State of ________________. My State license number is _______________ , and my DEA number is _______________. My medical specialty is ________________________
I have a thorough understanding of the risks and benefits of all the medications that I prescribe for or administer to my patients. In the case of (Patient's name) ___________________________ , age _________ , whom I have examined, I find that certain risk factors exist that justify the recommended vaccinations. The following is a list of said risk factors and the vaccinations that will protect against them:
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
2 comments:
DV, what's this all about?
"...Researchers looked at more than 1,500 lab-confirmed swine flu cases reported to the Chicago Department of Public Health from late April through late July.
Blacks with swine flu were hospitalized at a rate of 9 per 100,000, and Hispanics at a rate of 8 per 100,000. For whites, the rate was 2 per 100,000, the study found.
Earlier this month, Boston health officials released some unpublished information that found three out of four Bostonians hospitalized with swine flu were black or Hispanic."
Source:"The study findings were published in the Aug. 28 issue of the CDC's Morbidity and Mortality Weekly Report."
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