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IMMUNIZATION RECORD AND PHYSICAL EXAM (Please type or print.) Last Name First Name Middle Name IMMUNIZATION HISTORY PLEASE PROVIDE DATES: (See accompanying letter for requirements.) *TetanusDiphtheria
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What is immunization record and physical?
An immunization record and physical is a document that contains a record of a person's immunization history and physical examination.
Who is required to file immunization record and physical?
Certain individuals, such as students entering school or college, healthcare workers, and immigrants, are often required to file immunization records and physicals.
How to fill out immunization record and physical?
To fill out an immunization record and physical, you need to provide information about your immunization history, including the dates and types of vaccines received, as well as the results of your physical examination, such as vital signs, medical conditions, and any necessary recommendations.
What is the purpose of immunization record and physical?
The purpose of an immunization record and physical is to document a person's immunization history and physical health status. It helps healthcare providers and institutions ensure that individuals are adequately protected against various diseases and identifies any health concerns or conditions that may require further attention.
What information must be reported on immunization record and physical?
The information typically reported on an immunization record and physical includes the individual's name, date of birth, immunization dates and types, physical examination findings, and any relevant medical history or recommendations.
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