№ lp_1_2_52560
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This document is a medical exemption request form for the mandatory influenza vaccination policy at Carilion Clinic.
Note:
Year
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2026
Region / City:
United States
Theme:
Employee Assistance Programs, Workplace Performance
Document Type:
Handbook
Organization / Institution:
Carilion EAP
Author:
Carilion EAP Consultants
Target Audience:
Supervisors, Human Resources, and Employees
Period of Action:
Ongoing
Approval Date:
N/A
Date of Changes:
N/A
Year:
2026
Location:
Radford, Virginia, USA
Document Type:
Internship Application Form
Institution:
Carilion Clinic Hospice
Internship Director:
Kelly J. Sweeney, MS, MT-BC
Contact Email:
[email protected]
Contact Phone:
540-633-9370
Required Attachments:
Cover letter, Resume, Academic Director Verification Letter
Target Audience:
Prospective interns
Fields Covered:
Personal Information, Education, Work Experience, References, Applicant Agreement
Submission Date:
Variable based on applicant
End Date of Internship:
Determined per internship program
Year:
2025
Region / City:
Roanoke, Virginia
Theme:
Disability employment, business recognition
Document Type:
Award announcement
Organization:
Carilion Clinic
Author:
Department for Aging and Rehabilitative Services
Target Audience:
Businesses, organizations, individuals with disabilities
Period of Action:
2025
Approval Date:
October 2025
Context:
Announcement of Carilion Clinic receiving the DARS CHAMPIONS Award for their employment programs supporting people with disabilities in Virginia.
Year:
2025
Region / city:
Wellington
Topic:
High Pathogenicity Avian Influenza (HPAI) H5N1 management in poultry
Document Type:
Submission template
Organization:
Ministry for Primary Industries (MPI)
Target Audience:
Poultry industry stakeholders, government partners, research entities
Period of Validity:
N/A
Approval Date:
N/A
Modification Date:
N/A
Year:
2026
Region / city:
Massachusetts
Topic:
Health Care Personnel Vaccination
Document Type:
Report
Agency / Organization:
Massachusetts Department of Public Health
Author:
Massachusetts Department of Public Health
Target Audience:
Health Care Personnel, Licensed Facilities in Massachusetts
Period of Validity:
Oct 1 2025 - Mar 31 2026
Approval Date:
N/A
Date of Last Update:
N/A
Year:
2025
Region / city:
[insert local health board name]
Theme:
Vaccination
Document type:
Patient Group Direction (PGD)
Authorising organisation:
NHS Wales
Target audience:
Healthcare professionals (Registered)
Period of validity:
01 September 2025 - 31 March 2026
Approval date:
07 August 2025
Amendment date:
30 June 2025
Review date:
01 July 2026
Expiry date:
31 March 2026
Year:
2025
Region / city:
England
Topic:
Influenza immunisation
Document type:
Patient Group Direction (PGD)
Organisation:
UK Health Security Agency (UKHSA)
Author:
Christina Wilson, Jamie Lopez-Bernal, Greta Hayward
Target audience:
Healthcare practitioners, NHS organisations
Period of validity:
From 1 September 2025 to 1 April 2026
Approval date:
3 July 2025
Revision history:
Updated annually, latest update 9 July 2025
Year:
2023
Region / City:
Australia
Theme:
Infectious Diseases Management, Healthcare
Document Type:
Guidelines
Organization:
Australian Government, Department of Health
Author:
Not specified
Target Audience:
Operators of residential care facilities
Action Period:
Ongoing
Approval Date:
16 May 2023
Amendment Date:
None
Context:
This document provides a comprehensive checklist for the management of acute respiratory infections, including COVID-19, influenza, and RSV, in residential care facilities.
Year:
2026
Region / City:
Beaufort County
Topic:
Influenza Vaccine Administration
Document Type:
Medical Consent Form
Organization / Institution:
Beaufort County Health Department
Author:
Beaufort County Health Department
Target Audience:
Patients receiving influenza vaccine
Period of Action:
Current vaccination season
Approval Date:
2026-02-06
Modification Date:
Not specified
Year:
2014-2015
Region / City:
United States
Topic:
Influenza Vaccination
Document Type:
Informational Guide
Organization / Institution:
Centers for Disease Control and Prevention (CDC)
Author:
[xxx]
Target Audience:
Pharmacists, Healthcare Providers, Retailers
Period of Validity:
Current influenza season
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2025
Region / City:
Rice County, MN
Theme:
Influenza Vaccination
Document Type:
Consent Form
Organization:
Rice County Public Health
Author:
Rice County Public Health
Target Audience:
Residents of Rice County, individuals seeking influenza vaccination
Effective Period:
2025 / 2026 flu season
Approval Date:
Not specified
Modification Date:
Not specified
Contextual Description:
A consent form for receiving the influenza vaccine, including details on eligibility, payment information, and health history questions.
Year:
N/A
Region / City:
N/A
Theme:
Health Informatics
Document Type:
Educational Assignment
Author:
N/A
Target Audience:
Graduate Students, Public Health Rotation Participants
Period of Validity:
N/A
Date of Approval:
N/A
Date of Changes:
N/A
Year:
2025
Region / city:
Wales
Topic:
Inactivated influenza vaccine administration
Document type:
Addendum
Organization / institution:
NHS Wales
Author:
Welsh Medicines Advice Service (WMAS)
Target audience:
Registered healthcare professionals
Period of validity:
01 September 2025 - 31 March 2026
Approval date:
05 November 2025
Review date:
01 July 2026
Version:
1.0
Approval body:
Vaccine Clinical Advisory Group (VCAG)
Expiry date:
31 March 2026
Additional references:
Welsh Government. Health circulars. Available from https://www.gov.wales/health-circulars
Note:
[accessed 22 September 2025]
Context description:
Addendum to the NHS Wales Patient Group Direction (PGD) outlining the guidelines for administering inactivated influenza vaccines for the National Immunisation Programme 2025-2026.
Year:
2021
Region / City:
ARH
Topic:
Medical exemption from influenza vaccination
Document Type:
Request form
Organization / Institution:
ARH
Author:
ARH
Target Audience:
ARH employees
Period of Validity:
Until medical condition changes
Approval Date:
N/A
Modification Date:
N/A
Year:
2025
Region / city:
Northern Ireland
Subject:
Influenza vaccination
Document type:
Protocol
Organization / institution:
Public Health Agency (PHA)
Author:
Strategic Planning and Performance Group (SPPG)
Target audience:
Healthcare professionals
Period of validity:
1 September 2025 - 1 April 2026
Approval date:
03/09/25
Note:
Change history
Version 1.0:
New national protocol for inactivated influenza vaccine, 6 October 2021
Version 2.0:
Eligibility and vaccine details update for 2022-2023, 26 August 2022
Version 3.0:
Eligibility update for 2024-2025, 8 August 2024
Version 4.0:
Update with eligibility criteria for 2025-2026, 13 August 2025
Date of amendments:
Various
Expiration date:
1 April 2026
Year:
2025–2026
Country:
Wales
Healthcare system:
NHS Wales
Document type:
Patient Group Direction
Clinical area:
Immunisation
Vaccine:
Inactivated Influenza Vaccine
Service:
Primary Care Contractor Service: Immunisation (PCCS:I)
Setting:
Community Pharmacy
Operational period start:
01 September 2025
Review date:
01 July 2026
Expiry date:
31 March 2026
Version:
4.0
Legal framework:
Human Medicines Regulations 2012
Developing organisation:
Welsh Medicines Advice Service
Commissioning bodies:
Local Health Boards in Wales
Authoring body:
NHS Wales
Target professionals:
Registered pharmacy professionals
Professional registration:
General Pharmaceutical Council
Approval date (CPCAG):
10 July 2025
Ratification date (All Wales PGD Advisory Board):
16 July 2025
Governance responsibility:
Local Health Boards
Source type:
Official clinical governance document
Year:
2025
Region / City:
Victoria, Australia
Topic:
Acute Respiratory Infections, COVID-19, Influenza, Residential Care Facilities
Document Type:
Guidelines
Organization / Institution:
Department of Health, Victoria
Author:
Victorian Government
Target Audience:
Residential Care Facilities, Local Public Health Units, Healthcare Providers
Effective Period:
May 2025 - May 2028
Approval Date:
May 2025
Revision Date:
February 2024
Year:
2025
Region / city:
United Kingdom
Topic:
Immunization, Influenza Vaccine
Document Type:
Addendum
Organization / Institution:
UK Health Security Agency (UKHSA)
Author:
Suki Hunjunt, Alex Allen, Greta Hayward
Target Audience:
Health professionals, Immunization Programs
Effective Period:
1 September 2025 - 1 April 2026
Approval Date:
6 August 2025
Modification Date:
23 July 2025
Background:
Live attenuated influenza vaccine nasal spray suspension (Fluenz®) updated formula
Contextual Description:
Addendum to UKHSA PGD v15.0 detailing updates to the influenza vaccine composition and active strains.
Year:
2024
Region / city:
Southern New Hampshire University
Subject:
ADHD, Attention Disorders, School Programs
Document Type:
Program Overview
Organization / Institution:
Southern New Hampshire University
Author:
Michaela Carroll
Target Audience:
School-age children with attention disorders, educators, parents, clinicians
Period of Action:
June 16, 2024
Approval Date:
June 16, 2024
Modification Date:
N/A
Note:
Context
Year:
2023
Region / City:
United States
Subject:
Health and Human Services Terminology
Document Type:
Acronym List
Agency / Institution:
Administration for Children & Families
Author:
N/A
Target Audience:
Public, Governmental and Health Sector Professionals
Date Approved:
N/A
Date of Changes:
N/A