Webforms.fiu.edu

Health Compliance FL SHOTS Consent Form and Portal Access …

WEBHealth Compliance FL SHOTS Consent Form and Portal Access Request. If you were vaccinated in the State of Florida, Health Compliance may be able to locate your …

Actived: 4 days ago

URL: https://webforms.fiu.edu/view.php?id=3060422

HEPATITIS B WAIVER

WEBHepatitis B is a serious infectious disease caused by a virus that attacks the liver. The hepatitis B virus (HBV) can cause life-long infection that may lead to cirrhosis (scarring) …

Category:  Health Go Health

Health Compliance FL SHOTS Parental Consent Form for Dual …

WEBThe form MUST be completed by your health care provider and submitted to the Health Compliance office at [email protected]. Draw your signature into the box below. By signing this document, I am allowing Health Compliance to run my child's record through the FL SHOTS state immunization database. I understand this is a legal representation of my

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FIU Healthy Living Program Internship Application

WEBWe are proud to offer a wide variety of internship opportunities. Please note that all internship opportunities offered by the Healthy Living Program are unpaid. You will also …

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Healthy Living Program Volunteer Application

WEBThe Healthy Living Program (HLP) at the Student Health Center offers a holistic approach to the patient-centered Medical Home model that encourages FIU students to engage in healthy lifestyle practices and become advocates of his or her health decisions. We are proud to offer a wide variety of volunteer opportunities.

Category:  Medical Go Health

Authorization for Release of Information to the FIU Student Health …

WEBAuthorization for Release of Information to the FIU Student Health Clinic. FIU Student Health Clinics ATTN: Medical Records Department 11200 SW 8 Street, SHC 150 …

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Healthy Living Program Presentation Request

WEBHealthy Living Program Presentation Request. Available for the FIU community, the Healthy Living team can assist with providing education on a multitude of topics such as Sexual …

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Health Fly-In Interest Form

WEBHealth Fly-In Interest Form. The Talent Lab at FIU in DC will be hosting a Fly-In Seminar on health policy during the Spring 2023 semester. While details on the specific theme, …

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FIU Student Health Clinic Authorization for Release of Information

WEBI hereby authorize Florida International University Student Health Center to release via mail, fax, patient portal, email, or pick up the following information from my medical record (select all that apply): *. Entire medical record (including mental health counseling visits, substance abuse counseling, and HIV testing) Laboratory tests History

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Request for Review/Release of Records

WEBThe request is for (check all that apply) Review of Treatment Summary Review of full record by a licensed mental health clinician Release of Treatment Summary Release of full …

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Black Women and Public Health in the UK

WEBBlack Women and Public Health in the UK. Join us on Thursday, September 28th, 2023, for a presentation on the work of the Black Women’s Health and Wellbeing Research Network and Black Women and Mortality in the UK with Dr. Jenny Douglas.

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MMR Waiver Form For Transient Student

WEBMMR Waiver Form For Transient Student. Transient students from another public university in Florida can submit immunization documents, or provide the Health Compliance Office …

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FIU Health Compliance Authorization for Release of Information

WEBI hereby authorize Florida International University Health Compliance Office to release my immunization record via fax or email *. Proof of Immunization Record. I understand that …

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Health/Wellness Workshop RSVP

WEBHealth/Wellness Workshop RSVP. A Health/Wellness Workshop has been set up for you on behalf of your supervisor(s) and will be held on January 30, 2024 from 12:00-1:00pm.

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Consent for Treatment of a Minor by Parent/Legal Guardian

WEBconfirm I: have the legal authority to give consent for the treatment of this minor. I hereby authorize Florida International University Student Health Clinics, to provide such …

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Hepatitis B Vaccination Declination/Verification Form

WEBPer this standard, FIU is required to maintain documentation of offering the vaccine to employees and completion of the vaccine by employees. Please complete this form to verify completion of the Hepatitis B vaccination series or to complete the declination statement for the vaccination series. Please select one of the options below.

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Data Management Request Form

WEBFor New Individual and New Organization Record: Individual means a person and organization means a corporation or foundation. Be sure to include at least an address …

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The Research Day on Aging and Health

WEBWould you like to participate in the poster presentation? You will be contacted by a coordinator for further details and instructions.

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Health and Wellness Marketing Badge

WEBHealth and Wellness Marketing Badge - Fall 2022. ENROLLMENT IS NOW CLOSED --- We will most likely host the badge again in Spring 2023. Stay tuned to our social media accounts (@FIUSHW), to find out when enrollment opens.

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