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IMMUNIZATION AND COMMUNICABLE DISEASE REVIEW FORM September 2008 Intake Please ensure that you have this form completed and signed by your healthcare provider (physician, nurse practitioner, or registered
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The immunization review form is a document used to assess and review the immunization records of individuals.
The individuals who are required to file the immunization review form may vary depending on the specific requirements set by the relevant authorities or organizations. Generally, it may include healthcare providers, educational institutions, and employers.
To fill out the immunization review form, you need to provide accurate and complete information regarding the individual's immunization history. This includes details such as the vaccines received, dates of immunizations, and any exemptions or waivers if applicable.
The purpose of the immunization review form is to ensure that individuals have received the required immunizations, assess their immunization status, and promote public health by preventing and controlling the spread of vaccine-preventable diseases.
The specific information required on the immunization review form may vary, but typically, it includes the individual's personal information, vaccination history, dates of immunizations, healthcare provider information, and any exemptions or waivers.
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