Get the free Immunization History - calvin

This document is used by new and readmitted students of Calvin College to record and submit their immunization history. It outlines the necessary vaccinations required for college admission and provides

How to fill out immunization history - calvin

How to fill out Immunization History

1. Obtain the Immunization History form from a healthcare provider or an official health website.
2. Begin by entering personal information such as full name, date of birth, and contact information at the top of the form.
3. List all vaccinations received by date, including childhood vaccines, adult vaccines, and travel-related vaccinations.
4. For each vaccine, include the name of the vaccine, the date administered, and the healthcare provider's name.
5. Check for any required signatures or additional documentation that may need to be attached.
6. Review the completed form for accuracy, ensuring all information is correct and up to date.
7. Submit the completed Immunization History form to the appropriate entity, such as school admissions or for employment.

Who needs Immunization History?

1. Children entering school for the first time.
2. Individuals relocating to different states or countries.
3. Adults requiring vaccination records for employment or travel purposes.
4. Patients needing proof of immunizations for medical procedures.
5. Healthcare workers and students in medical fields.

People Also Ask about

What is the immunization history?

/ˌɪmjənəˈzeɪʃn/ (British English also immunisation) [uncountable, countable] ​the act of protecting a person or an animal from a disease, especially by giving them an injection of a vaccine. an immunization programme to prevent epidemics compare inoculation, vaccination.

Does immunization records expire?

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.

How can I get my old immunization records?

Check with your high school and/or college health services for dates of any immunizations. Keep in mind that generally records are kept only for 1-2 years after students leave the system.

How long do schools keep immunization records?

Doctors and health clinics keep records of the vaccines they give to your child. Keep in mind that they may save records for only a few years. If your child has gotten vaccines at different locations, you may have to contact each of them to get your child's records.

How can I find my old immunization records?

You can also use immunization interchangeably with vaccination or inoculation, so you might say, "While I was at the doctor, I went ahead and got my flu immunization." The word comes from immune, "exempt from disease," and its Latin root, which means "exempt."

For pdfFiller’s FAQs

What is Immunization History?

Immunization History is a record that details the vaccinations an individual has received, including dates and types of vaccines administered.

Who is required to file Immunization History?

Individuals, typically parents or guardians of minors, healthcare providers, and educational institutions may be required to file Immunization History to ensure compliance with health regulations.

How to fill out Immunization History?

To fill out Immunization History, individuals should gather all relevant vaccination records, including dates and types of vaccines. Each entry should be accurately documented, often requiring the signature of a healthcare provider.

What is the purpose of Immunization History?

The purpose of Immunization History is to track immunization status, ensure individuals are up to date with vaccinations, and help prevent the spread of vaccine-preventable diseases.

What information must be reported on Immunization History?

Immunization History must report the individual's name, date of birth, the type of vaccine administered, the date of administration, and the name of the healthcare provider who administered the vaccine.