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BESIDE STATE UNIVERSITY Yes No Office Use Only IMMUNIZATION RECORD FOR STUDENTS ATTENDING POSTSECONDARY SCHOOLS IN MINNESOTA Student Name (last, First, Middle Initial) Date of Birth BSU Student ID

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How to fill out immunization record for students

How to fill out the immunization record for students:

01

Gather necessary information: Collect the student's personal details, such as full name, date of birth, and contact information.

02

List required immunizations: Refer to the state or local immunization requirements for students. Write down the vaccines recommended or mandated for students of that particular age.

03

Record vaccine names and doses: Write the name of each vaccine received by the student and indicate the number of doses administered. Include important details like the manufacturer, lot number, and expiration date, if available.

04

Fill in dates: Enter the date when each vaccine was given, making sure to record the month, day, and year accurately. It is crucial to maintain a chronological order to ensure compliance with vaccination schedules.

05

Note healthcare provider: Mention the healthcare provider or clinic where the immunization was administered. This information will help verify the authenticity of the record.

06

Obtain authorized signatures: If required, the immunization record may need to be signed by healthcare professionals, school officials, or parents/guardians. Ensure the appropriate signatures are obtained and the document is legally authorized.

07

Keep a copy for personal records: Once the immunization record is complete, make a copy for the student's personal records. It is crucial to retain a copy for future reference and to present it as proof of immunization when required.

Who needs an immunization record for students?

01

Schools: Educational institutions, including public and private schools, require students to provide their immunization records as part of the enrollment process. These records help ensure the overall safety and health of the student body.

02

Healthcare providers: Doctors, nurses, and other healthcare professionals need a student's immunization record to assess their vaccination history accurately. It helps determine the need for any additional vaccines or boosters, ensuring comprehensive medical care.

03

Parents/Guardians: Parents or legal guardians need the immunization records of their children to secure admission into schools, camps, or extracurricular activities. It serves as evidence of compliance with immunization requirements and protects the child's health.

Note: It's essential to consult your local health department, schools, or healthcare providers for specific guidance and regulations regarding immunization records for students, as requirements may vary based on location.

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What is immunization record for students?

Immunization record for students is a document that shows the vaccination history of a student.

Who is required to file immunization record for students?

Parents or guardians are required to file the immunization record for students.

How to fill out immunization record for students?

To fill out the immunization record for students, parents or guardians need to provide details of the student's vaccination history, including dates and types of vaccines received.

What is the purpose of immunization record for students?

The purpose of immunization record for students is to ensure that students are up-to-date with their vaccinations to prevent the spread of communicable diseases within a school or community.

What information must be reported on immunization record for students?

The immunization record for students must include information on the types of vaccines received, dates of administration, and any exemptions or waivers obtained.

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