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This form is used by Sonoma State University for students to submit their immunization records as part of the enrollment process, specifically detailing required vaccinations.
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How to fill out IMMUNIZATION RECORDS

01
Obtain the immunization record form from your healthcare provider or school.
02
Fill in your personal details, including your name, date of birth, and any identification number if required.
03
List each immunization received, including the name of the vaccine, date administered, and the healthcare provider who administered it.
04
Ensure you have accurate dates and spelling of vaccine names to avoid any discrepancies.
05
If you have any additional documents or previous records, attach or reference them.
06
Review the completed form for any errors or missing information.
07
Sign and date the form if required, and submit it to the appropriate authority or keep it for your records.

Who needs IMMUNIZATION RECORDS?

01
Children entering school or daycare.
02
Individuals traveling to certain countries.
03
Students applying for college or university.
04
Healthcare workers and individuals in close contact with vulnerable populations.
05
Anyone participating in public health programs requiring vaccination proof.
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Unfortunately, no national organization maintains this information. So, if immunization records are lost or not available, you or your child may have to repeat vaccine doses. Piecing together old immunization information can be difficult and time-consuming.
Check with your doctor or public health clinic. Keep in mind that vaccination records are maintained at doctor's office for a limited number of years. Contact your state's health department. Some states have registries (Immunization Information Systems) that include adult vaccines.
Go to My Record > Health Summary and select the Immunizations tab. You can see the immunizations you've received and the dates on which you received them. Click the immunization name to learn more. If your immunizations are not up to date, please reach out to your clinic directly to have your information updated.
To check your GP health record, you can use the NHS App or contact your GP surgery. You may be able to check your vaccination history in the NHS App. For COVID-19 vaccinations, you can also use the check your COVID-19 vaccine record service.
Sign into your account or the app. Under Health History Dashboard, select Health Summary. From there, select Immunizations. MyChart can even pull in records from vaccines you received at other locations, such as a pharmacy.

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Immunization records are official documents that provide a detailed history of a person's vaccinations, including the types of vaccines received, the dates they were administered, and the healthcare provider who gave them.
Immunization records are typically required to be filed by healthcare providers who administer vaccinations, schools and childcare facilities that need to verify a child's immunization status, and individuals for their own personal medical records.
To fill out immunization records, one must enter the individual's personal information, list the vaccines administered with corresponding dates, provide healthcare provider details, and include any additional remarks about the immunization history.
The purpose of immunization records is to track vaccination history, ensure compliance with public health regulations, facilitate school enrollment, and monitor vaccine coverage for disease prevention.
The information that must be reported on immunization records includes the individual's name, date of birth, vaccine type, administration date, provider's name and contact information, and any additional relevant details.
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