Vaccine Administration Record for Children and Teens Patient name: Birthdate: Chart number: (Page 1 of 2) Before administering any vaccines, give copies of all pertinent Vaccine Information Statements
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Get the Immunize P2022 2011

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This is Bruce and this is a quick broadcast answering questions from YouTube let's go to our question here we're just gonna do one question just give me a second to switch to the screen I want you guys to see what we see if I can make this happen quick oh nice look at that isn't that look at that isn't that incredible I'll work it on an old on see there we go okay it's not gonna show hmm yeah so here we are right here we're asked answering this question from Jay blaze Oh he says hi do you have an instructional video on how to fill out the form I 693 if yes please send me a link and thank you in advance we haven't done one yet but we did take a look at it and we do know people who done it and here's what he's talking about he or she is talking about this is the I 693 report of medical examination and vaccination record and really only fill out this top portion here show that the instruction baby information about you to be completed by person requesting the medical examination not the civil surgeon so here's so I would put if this was me and foot brown and then I'd say Bruce and then whoops yes Bruce middle name so in what cases have you had to do this it's mostly for the civil surgeon doing the medical exam for your u.s. visa but it's a requirement but but don't you have you you should have already done this at the US Embassy right for Philippines they do that part because it's mostly for them so they just give us a form mm-hmm that we filled out and then they feel that part out because it's mostly for the medical exam that the civil surgeon would do mm-hmm so let's let me give you an example here so you can fill out the rest of this right and a number is your alien registration number if you have one you should have one shown on your in a way too if you have one of those or in your green card if you have one yeah our alien number is actually our green card number two okay so then you would do speak English and it says do not sign or date this form I 693 until instructed to do so by a civil surgeon the rest of this is actually done not by you but by civil surgeon look at this Karen mission about you oh okay here's another one I know to be completed by to be the person requesting for the medical examination yeah I look at that so that part has to be filled out this power all Oh Cassie is a little confused says highlight the information to be completed by the person requesting medical exam not the circle searching but then it says by civil surgeon that's confusing that's super confusing oh that's confusing that's very confusing but here's some instructions right here we want to show you this so the here's the site right here I hope this helps you we've never had to do this but we do know people who had to do it and normally it was for people who for whatever reason they couldn't complete their their medical exam in their own country with the u.s. embassy and so when they come to the u.s. they have to actually complete their I mean and records or...

Please select a version for Fillable Immunize P2022 form
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Please select a version for Fillable Immunize P2022 form
  • 2016 Immunize P2022 Fillable
  • 2011 Immunize P2022 Fillable
  • 2008 Immunize P2022 Fillable
  • More...