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English Reviewed for compliance by: Certificate of Immunization Status Staff Signature Date: Exemption: (see back) Yes t Page 1 of 2 No t Bellevue School District CERTIFICATE OF IMMUNIZATION STATUS

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What is certificate of immunization status?

A certificate of immunization status is a document that verifies an individual's immunization history and status.

Who is required to file certificate of immunization status?

In most jurisdictions, individuals attending educational institutions such as schools or colleges are required to file a certificate of immunization status.

How to fill out certificate of immunization status?

To fill out a certificate of immunization status, you need to provide information about the vaccines received, including the dates of administration and any exemptions or medical conditions.

What is the purpose of certificate of immunization status?

The purpose of a certificate of immunization status is to ensure that individuals attending educational institutions are properly vaccinated to prevent the spread of communicable diseases.

What information must be reported on certificate of immunization status?

The information reported on a certificate of immunization status typically includes the individual's name, date of birth, vaccine doses received, dates of administration, and any exemptions or medical conditions.

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