1. Online Vaccination Report

Please use this official Rhode Island Department of Health (HEALTH) online form to report aggregate information on seasonal influenza vaccination of healthcare workers engaged in direct patient contact in your facility between September 1, 2009 and April 30, 2010 (influenza vaccination season). This online form includes 2 parts: Part A, AND Part B.

Part A is intended to identify your facility and to obtain contact information for your facility, in case we need to clarify your responses.

Part B is intended to gather information on the acceptance of seasonal influenza vaccine by healthcare workers engaged in direct patient contact in your facility between September 1, 2009 and April 30, 2010.

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