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This form is required by Colorado law for documenting the immunization status of students attending Colorado schools, including exemptions for medical, religious, and personal reasons.
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How to fill out certificate of immunization

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How to fill out Certificate of Immunization

01
Obtain the Certificate of Immunization form, which can typically be found through your healthcare provider or school.
02
Fill in your personal information, including your name, date of birth, and contact details.
03
List all required immunizations according to the guidelines provided by your state or institution.
04
Provide the dates when each immunization was received.
05
Have your healthcare provider sign and date the form to verify the information.
06
Make sure to keep a copy for your records before submitting it to the required institution.

Who needs Certificate of Immunization?

01
Students entering school or college.
02
Individuals working in healthcare settings.
03
Individuals attending daycare or preschool.
04
Travelers going to certain countries where specific vaccinations are required.
05
Participants in certain events or programs that require proof of immunization.
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People Also Ask about

Doctors and health clinics keep records of the vaccines they give to your child. Keep in mind that they may save records for only a few years.
People who receive immunizations from South Carolina providers can access their immunization record through the SIMON public portal.
Go to My Record > Health Summary and select the Immunizations tab. You can see the immunizations you've received and the dates on which you received them. Click the immunization name to learn more. If your immunizations are not up to date, please reach out to your clinic directly to have your information updated.
Online. Individuals, parents and legal guardians can get their CIR immunization record and also check which vaccines they may need. You can search for your or your child's immunization record by visiting My Vaccine Record. To learn how to access records, click on that site's “Accessing Records” tab.
Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or your child received. This record may be required for certain jobs, travel abroad, or school registration.
How to Contact Your Jurisdiction's IIS contact the IIS in your state or in the state where you or your child received their last shots to see if they have records. contact your immunization provider directly or your local or state immunization program through your state's health department.
Check with your doctor or public health clinic. Keep in mind that vaccination records are maintained at doctor's office for a limited number of years. Contact your state's health department. Some states have registries (Immunization Information Systems) that include adult vaccines.

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A Certificate of Immunization is an official document that records an individual's immunization status, detailing the vaccines received and the dates administered.
Typically, schools, child care facilities, and certain employers require individuals, particularly children entering school or daycare, to file a Certificate of Immunization as proof of vaccination.
To fill out a Certificate of Immunization, individuals or healthcare providers must provide personal information, list the vaccines received along with their dates, and sign and date the certificate to verify its accuracy.
The purpose of the Certificate of Immunization is to verify that an individual has received the necessary vaccinations to protect against various infectious diseases, ensuring public health and safety.
The information that must be reported on a Certificate of Immunization typically includes the individual's name, date of birth, list of vaccines administered, dates of vaccination, and the healthcare provider’s signature.
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