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School of Nursing 3800 Victory Parkway Cincinnati, OH 452077351 513 7453814 STUDENT IMMUNIZATION RECORD I understand that my immunization record and other documentation is required in order to attend
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How to fill out student immunization record

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How to fill out a student immunization record:

01
Gather necessary information: Start by collecting all the required information for the student immunization record. This typically includes the student's full name, birthdate, and contact details.
02
Review the document: Carefully read through the student immunization record form to familiarize yourself with its structure and requirements. Make sure you understand what information needs to be provided and how it should be recorded.
03
Obtain immunization history: Contact the student's healthcare provider or previous school to gather their immunization history. This information should include details about the vaccines they have received, dates of administration, and any relevant medical documentation.
04
Fill in personal details: Begin by filling out the student's personal information on the form. This includes their full name, date of birth, gender, and any other required details.
05
Record vaccine information: In the immunization record section, record all the vaccines the student has received. Include the vaccine name, date of administration, administering healthcare provider, and the lot number if available. Make sure to accurately document each vaccination and its corresponding date.
06
Attach supporting documentation: If the student has any relevant medical records or documentation, ensure you securely attach them to the immunization record. This may include copies of vaccine administration cards, medical exemptions, or other relevant documents.
07
Review and double-check: Once you have completed filling out the student immunization record, carefully review all the information you have provided. Ensure that there are no errors or missing details. Double-check that the record is complete and accurately reflects the student's immunization history.

Who needs a student immunization record?

01
Students entering educational institutions: Most educational institutions, including schools, colleges, and universities, typically require students to submit a complete immunization record. This helps ensure that students are adequately protected against preventable diseases and maintain a safe and healthy environment.
02
Parents and guardians: Parents and guardians are responsible for providing the necessary immunization records for their children. They need to ensure that their child's immunizations are up to date and accurately documented in the student immunization record.
03
Healthcare providers: Healthcare providers play a crucial role in maintaining and updating student immunization records. They are responsible for administering vaccines, maintaining accurate records of vaccinations given, and providing the necessary documentation to parents, guardians, and educational institutions.
04
Educational institutions: Schools, colleges, and universities need student immunization records to comply with local and state regulations regarding immunization requirements for students. These records are necessary for enrollment, tracking vaccination compliance, and promoting a healthy learning environment.
05
Public health agencies: Public health agencies may require student immunization records to monitor immunization rates in a community, track disease outbreaks, and ensure public health safety. These records help them identify areas that may need additional immunization efforts or targeted interventions.

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