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CARILLON IMMUNIZATION RECORD Section I: To be completed by applicant Applicants MUST have had all the immunizations listed below. Printed Name: Date of Birth (MM/DD/BY): Rotation Start Date School-Provided

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What is carilion immunization record?

Carilion immunization record is a document that contains the immunization history of an individual receiving healthcare services from Carilion Clinic.

Who is required to file carilion immunization record?

All patients receiving healthcare services from Carilion Clinic are required to provide their immunization records.

How to fill out carilion immunization record?

To fill out the Carilion immunization record, patients can provide their immunization history to their healthcare provider or submit documentation from their primary care physician.

What is the purpose of carilion immunization record?

The purpose of Carilion immunization record is to ensure that patients receiving healthcare services are up-to-date on their immunizations, helping to prevent the spread of vaccine-preventable diseases.

What information must be reported on carilion immunization record?

The Carilion immunization record must include the patient's name, date of birth, immunization history including dates of vaccines received, and any exemptions or waivers.

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