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This document is designed for providers to request influenza vaccine from the North Carolina Immunization Program for the 2012-2013 season, including details on vaccine types and ordering procedure.
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How to fill out NORTH CAROLINA IMMUNIZATION PROGRAM (NCIP)

01
Obtain a copy of the NORTH CAROLINA IMMUNIZATION PROGRAM (NCIP) form.
02
Fill in the personal information section including name, date of birth, and contact details.
03
Provide information about the parent's or guardian's name and contact information.
04
List the immunizations received by the child, including dates and types of vaccines.
05
Check any required vaccinations specific to school or daycare admissions.
06
Sign and date the form to certify that the information is accurate.
07
Submit the completed form to the appropriate school or healthcare provider.

Who needs NORTH CAROLINA IMMUNIZATION PROGRAM (NCIP)?

01
Children enrolling in school or daycare in North Carolina.
02
Individuals seeking immunization records for travel or employment.
03
Parents or guardians wanting to ensure their children are up-to-date with vaccinations.
04
Healthcare providers who require official vaccination documentation.
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People Also Ask about

What to know. CDC recommends a 2024-2025 COVID-19 vaccine for most adults ages 18 and older. Parents of children ages 6 months to 17 years should discuss the benefits of vaccination with a healthcare provider. The COVID-19 vaccine helps protect you from severe illness, hospitalization, and death.
Can't find your immunization record? Check with your vaccination provider. Your provider can check the North Carolina Immunization Registry. Check school or military records. Most K-12 schools, colleges and universities keep student vaccine records on file. Check your family records.
Students entering any North Carolina college or university must have certain vaccines (immunizations). This is true for all kinds of schools, including public, private and religious schools. It is required for undergraduate (like a bachelor's or associate's) and graduate (like a master's) degrees.
WCHHS provides gives childhood immunizations required by the state of North Carolina, including: DTaP (diphtheria, tetanus, acellular pertussis), HBV (hepatitis B), Hib (haemophilus B), IPV (inactivated polio vaccine), PCV (Pneumococcal Conjugate Vaccine) MMR (measles, mumps, rubella), Var (chickenpox)
A vaccine exemption is a special permission that allows you or your child to skip a required vaccine (immunization). In North Carolina, only medical and religious exemptions are allowed. Personal and philosophical beliefs can't be used for exemptions.
In North Carolina, all children must receive the CDC-recommended immunizations before enrolling in school or child care. This applies to children attending public, private or religious schools. If you have questions about which vaccines you or your family members may need, talk with your health care provider.
The VFC program covers every vaccine recommended by the Centers for Disease Control and Prevention (CDC) to protect children and teens. This includes all vaccines required for school and child care in North Carolina. The VFC program is funded through the CDC and run by the North Carolina Immunization Program (NCIP).
At the end of the 30-calendar day period, any child without a Certificate of Immunization showing that the child has received the required vaccines shall be prohibited from attending school or child care until he/she provides a Certificate of Immunization as required by law or shows that he/she has begun the

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The North Carolina Immunization Program (NCIP) is a public health initiative that ensures the availability and accessibility of vaccines for residents of North Carolina. It aims to promote immunization and protect the community from vaccine-preventable diseases.
Healthcare providers, including physicians, clinics, and hospitals, are required to file reports with the North Carolina Immunization Program. Additionally, parents or guardians may be responsible for ensuring their children's immunizations are documented.
To fill out the NCIP form, healthcare providers must enter the patient's personal information, vaccination history, and details about the administering provider. It is essential to follow the guidelines provided by the NCIP for accurate reporting.
The purpose of the NCIP is to enhance public health by increasing immunization coverage rates, preventing outbreaks of vaccine-preventable diseases, and ensuring comprehensive data collection on vaccinations administered in North Carolina.
The information that must be reported includes patient demographic details, specific vaccines administered, dates of administration, and immunization provider information.
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