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STUDENT NAME: IMMUNIZATION RECORD PART A To be completed by the student upon admission to the ECE Certificate Program. I have read the GENERAL IMMUNIZATION INFORMATION FOR CHILD CARE WORKERS and to
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How to fill out immunization record - ufvca:

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Obtain the immunization record form - ufvca from the relevant authority or healthcare provider.
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Fill in your personal information accurately, including your full name, date of birth, and contact information.
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Provide your current address and any previous addresses if required.
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List the vaccines you have received in the designated section. Include the name of the vaccine, the date it was administered, and the dosage or series information.
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If applicable, indicate any medical exemptions or waivers you have obtained for specific vaccines.
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Immunization record - ufvca is a document that shows a person's vaccination history, including the vaccines they have received.
All individuals, including children and adults, are required to file an immunization record - ufvca.
To fill out an immunization record - ufvca, you must provide details of all the vaccines you have received, including dates and types of vaccines.
The purpose of immunization record - ufvca is to ensure that individuals are up to date on their vaccinations and to prevent the spread of vaccine-preventable diseases.
The information reported on an immunization record - ufvca must include the individual's name, birthdate, vaccination dates, types of vaccines received, and any relevant medical information.
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