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Oregon Health Authority Public Health Division, Immunization Program Form 53-04A Revised 5/14-Page 1 of 3 IMMUNIZATION PRIMARY REVIEW SUMMARY Sections A Initial Statistical Report (For use by public,
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How to fill out immunization primary review summary
How to fill out immunization primary review summary:
01
Ensure that all required immunizations are documented accurately.
02
Include the individual's complete immunization history, including dates and doses received.
03
Review any potential contraindications or precautions to specific immunizations.
04
Document any adverse reactions or side effects experienced after previous immunizations.
05
Include any medical exemptions or waivers for specific vaccines, if applicable.
06
Sign and date the summary to certify its accuracy.
Who needs immunization primary review summary:
01
Healthcare professionals involved in providing care to individuals, such as doctors, nurses, and pharmacists.
02
School administrators and staff responsible for verifying immunization records for students.
03
Public health officials and organizations monitoring immunization rates and compliance.
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What is immunization primary review summary?
The immunization primary review summary is a document that summarizes the primary review of immunization records for a specific time period.
Who is required to file immunization primary review summary?
Healthcare providers and organizations that administer immunizations are required to file the immunization primary review summary.
How to fill out immunization primary review summary?
To fill out the immunization primary review summary, healthcare providers need to gather immunization records for the specified time period and summarize the information according to the required format.
What is the purpose of immunization primary review summary?
The purpose of the immunization primary review summary is to provide a consolidated overview of immunization records, identify any gaps or issues, and ensure compliance with immunization requirements.
What information must be reported on immunization primary review summary?
The immunization primary review summary must report information such as the number of immunizations administered, types of vaccines used, dates of administration, and any adverse reactions recorded.
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