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International Student Immunization Record Name Date of Birth (Mo/Day/Yr) Vaccine Tap Diphtheria Pertussis Tetanus TD Polio
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How to fill out immunizationrecord - northland christian
How to fill out immunization record - Northland Christian:
01
Gather all relevant documents: Start by collecting the necessary documents such as your child's birth certificate, social security number, and any previous immunization records.
02
Download the form: Visit the official website of Northland Christian School and search for the immunization record form. Download and print out the form.
03
Provide personal information: On the form, fill in your child's personal information including their full name, date of birth, gender, and contact details. Ensure all information is accurate and up to date.
04
List immunizations: The form will have a section to list all the required immunizations. Refer to your child's previous immunization records or consult with their healthcare provider to ensure you have the correct information. Write down the immunizations your child has received, including the dates and the names of the vaccines.
05
Include exemptions if applicable: If your child has any exemptions to immunizations, such as medical or religious exemptions, make sure to provide the necessary documentation and explain the reason for the exemption on the form.
06
Signature and date: At the bottom of the form, sign and date it to indicate that the information provided is accurate and complete.
07
Submit the form: Once you have filled out the form, make a copy for your records and submit the original to the designated department at Northland Christian School.
Who needs immunization record - Northland Christian?
01
Northland Christian School students: All students enrolled in Northland Christian School are required to have an up-to-date immunization record. This ensures the safety and health of the entire school community.
02
Parents or guardians: It is the responsibility of the parents or legal guardians of the Northland Christian School students to provide the school with the required immunization record. They need to ensure that their child's immunization information is accurately filled out on the provided form.
03
Healthcare providers: Healthcare providers, including pediatricians and immunization clinics, can assist parents or guardians in obtaining the necessary immunization records for their child. They play a crucial role in ensuring that students have received the required vaccinations and can provide proper documentation for school records.
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