CO Certificate of Immunization 2004 free printable template
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COLORADO LAW REQUIRES THIS FORM BE COMPLETED AND PROVIDED TO THE SCHOOL Name Date of Birth Parent/Guardian COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT CERTIFICATE OF IMMUNIZATION VACCINE
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How to fill out CO Certificate of Immunization
How to fill out CO Certificate of Immunization
01
Obtain the CO Certificate of Immunization form from your healthcare provider or the official state website.
02
Fill out the personal information section with the child's name, date of birth, and other requested details.
03
List all immunizations the child has received, including the dates for each vaccination.
04
Ensure the vaccinations are according to the state's requirements for school attendance.
05
Obtain a signature from a licensed healthcare provider to validate the information provided.
06
Submit the completed certificate to the relevant school or daycare.
Who needs CO Certificate of Immunization?
01
Children enrolling in schools or daycare facilities in Colorado typically need the CO Certificate of Immunization.
02
Parents or guardians are responsible for providing this certificate to ensure compliance with state immunization laws.
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Who can fill out an official certificate of immunization in Colorado?
COLORADO CERTIFICATE OF IMMUNIZATION This form is to be completed by a health care provider (physician (MD, DO), advanced practice nurse (APN) or delegated physician's assistant (PA)) or school health authority. School required immunizations follow the ACIP schedule.
Does Colorado have a immunization information system?
The Colorado Immunization Information System (CIIS) is a lifelong immunization record tracking system under the Colorado Immunization Registry Act of 2007. CIIS has signed agreements with all participating sites that are authorized to provide information to or access information from CIIS.
What is a copy of immunization records?
Your vaccination record (sometimes called your immunization record) provides a history of all the vaccines you received as a child and adult. This record may be required for certain jobs, travel abroad, or school registration.
Can I get my child's immunization records online Colorado?
Patients and guardians of minors can now use the CIIS Public Portal to view and print an official record of their immunizations.
What vaccinations are required for school in Colorado?
Vaccines required to enter school (K-12) *Students 4 through 6 years of age are required to have their final doses of DTaP, IPV,MMR and Varicella prior to kindergarten entry. **Students are required to have Tdap prior to entry into 6th grade. One dose of Tdap is required for 6th through 12th grades.
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What is CO Certificate of Immunization?
The CO Certificate of Immunization is an official document that records an individual's immunization history, particularly for vaccinations required for school attendance or certain employment.
Who is required to file CO Certificate of Immunization?
Typically, parents or guardians of students entering school, as well as individuals seeking employment in healthcare or childcare, are required to file the CO Certificate of Immunization.
How to fill out CO Certificate of Immunization?
To fill out the CO Certificate of Immunization, individuals must provide personal information such as the name and date of birth, list the vaccines received along with dates, and may need verification from a healthcare provider.
What is the purpose of CO Certificate of Immunization?
The purpose of the CO Certificate of Immunization is to ensure that individuals are vaccinated against certain preventable diseases, thereby protecting public health and compliance with school and employment health requirements.
What information must be reported on CO Certificate of Immunization?
The CO Certificate of Immunization must report the individual's name, date of birth, vaccine types, dates of administration, and any exemptions or medical contraindications.
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