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This document pertains to the Annual Immunization Status Report required by New Jersey's Department of Health for schools and childcare facilities to report on the immunization status of pupils and

How to fill out annual immunization status report

How to fill out Annual Immunization Status Report

1. Gather all necessary immunization records for each individual.
2. Review vaccination history to ensure all relevant immunizations are documented.
3. Fill in the personal information section, including name, date of birth, and contact details.
4. Indicate the date of each immunization received in the appropriate section.
5. Check off any missing immunizations that are recommended based on age or health status.
6. Ensure that any exemptions or waivers are clearly noted.
7. Review the completed report for accuracy and completeness.
8. Submit the report by the designated deadline to the relevant health authority.

Who needs Annual Immunization Status Report?

1. Individuals who are required to maintain their vaccination status for school enrollment.
2. Healthcare providers who need to track and manage patient immunization records.
3. Parents or guardians of minors who need to provide immunization information for school or camp.
4. Employers who require proof of immunizations for certain job roles.

People Also Ask about

Which child vaccines are absolutely necessary?

A DTaP vaccine is the best protection from three serious diseases: diphtheria, tetanus, and whooping cough (pertussis). All three of these diseases can be deadly for people of any age, and whooping cough is especially dangerous for babies.

Which state has the least vaccinated children?

As of 2023, the lowest combined 7-series vaccination rates were in: Montana (62.4%) Nebraska (62.8%) Alaska (64.1%) California (65.5%) Georgia (66.1%)

What vaccines are mandatory for school in NJ?

¶ Meningococcal and Tdap vaccines are required for all entering 6th graders who are 11 years of age or older. If in 6th grade and under age 11, children must receive the vaccines within 2 weeks of their 11th birthday.

What is the vaccination rate for New Jersey schools?

Between the 2013-2014 and 2023-2024 school years, vaccination rates among New Jersey school children declined from 95.3% to 91.9%, ing to Department of Health data. In Monmouth County, the rates dipped 3.3 percentage points over that time period, to 89.3%, ing to the health department.

How to get religious exemption for vaccines in NJ?

Religious Exemptions: N.J.S.A. 26:1A–9.1 provides an exemption from mandatory immunization “if the parent or guardian of the pupil objects thereto in a written statement signed by the parent or guardian upon the grounds that the proposed immunization interferes with the free exercise of the pupil's religious rights.”

What is the immunization status?

Immunization status, or previous exposure to diseases, is often assessed using serology. This testing can evaluate protection from diseases such as pertussis, hepatitis A, hepatitis B, measles, mumps, rubella, chickenpox, shingles, and polio.

For pdfFiller’s FAQs

What is Annual Immunization Status Report?

The Annual Immunization Status Report is a document that summarizes the immunization coverage and compliance rates for a specific population over the course of a year.

Who is required to file Annual Immunization Status Report?

Healthcare providers, clinics, and institutions that administer vaccines are typically required to file the Annual Immunization Status Report.

How to fill out Annual Immunization Status Report?

To fill out the Annual Immunization Status Report, gather data on vaccination records, assess the immunization rates, and enter this information into the designated fields of the report form as instructed.

What is the purpose of Annual Immunization Status Report?

The purpose of the Annual Immunization Status Report is to monitor immunization rates, identify areas needing improvement, and ensure that populations are adequately protected against vaccine-preventable diseases.

What information must be reported on Annual Immunization Status Report?

The information reported must include the number of individuals vaccinated, specific vaccines administered, age groups of the populations, and compliance rates with immunization schedules.