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Commuter Student Immunization Record Rev. 3 (2013-04-26) NOT CONFIDENTIAL Immunization records are not confidential as required by law Name: Male Last First Female Middle m d d y y y y Student ID:

How to fill out immunization records are not

How to Fill Out Immunization Records:

1. Gather all relevant immunization information, including the dates of administration, vaccine types, and dosage received.
2. Review your state or local health department's guidelines for completing immunization records. Familiarize yourself with any specific requirements or forms that should be used.
3. Use a pen with black or blue ink to fill out the immunization records. Avoid using pencil or other colors that may fade or smudge over time.
4. Start by entering the individual's personal information, such as their full name, date of birth, and contact information. Make sure all information is accurate and up to date.
5. Enter the details of each immunization administered. Include the vaccine name, lot number, manufacturer, and the site and route of administration. If applicable, record if the vaccine was administered as part of a combination vaccine.
6. Fill in the dates the immunizations were given, ensuring they are in chronological order. If an immunization has multiple doses, record each dose separately.
7. Include the healthcare provider's name, signature, and contact information. This is crucial for verification purposes.
8. Double-check all information before submitting the completed immunization records. Ensure there are no errors or missing information to avoid potential issues in the future.

Who Needs Immunization Records:

1. Students: Immunization records are typically required for enrollment in schools and educational institutions. These records help ensure that students are adequately protected against vaccine-preventable diseases.
2. Healthcare Workers: Many healthcare facilities require immunization records as part of their employment requirements. This helps protect both the healthcare workers themselves and the patients they care for.
3. Travelers: Some countries may require proof of certain vaccinations before granting entry. Keeping immunization records up to date allows travelers to meet these requirements and avoid any travel restrictions or delays.
4. Immigrants and Refugees: Many countries have specific immunization requirements for individuals seeking to immigrate or seek asylum. Immigrants and refugees may need to provide immunization records as part of their immigration process.
5. Personal Record Keeping: Maintaining updated immunization records is useful for individuals and families to track their vaccination history. This information can be helpful for future healthcare visits or when required for specific situations, such as college applications or sports participation.

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