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UT DoH School Immunization Record 2001 free printable template

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UTAH SCHOOL IMMUNIZATION RECORD This record is part of the student’s permanent school record (cumulative folder) as defined in Section 53A-11-304 of the Utah Statutory Code and shall transfer with
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How to fill out UT DoH School Immunization Record

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How to fill out Utah school immunization record:

01
Obtain the form: To begin, you will need to obtain the Utah school immunization record form. This form can be obtained from your child's school or from the Utah Department of Health website.
02
Personal information: Start by filling out the personal information section of the form. This will include your child's name, date of birth, gender, and contact information. Make sure to provide accurate and up-to-date information.
03
Vaccination history: The next step is to fill out the vaccination history section of the form. Here, you will need to provide details about your child's immunization history. Include the dates of each vaccine received, the vaccine name, and any additional information required, such as the vaccine manufacturer or lot number.
04
Medical exemptions: If your child has a medical exemption from any vaccines, provide the necessary documentation and information in the medical exemption section of the form. This may require a healthcare provider's signature or a medical exemption waiver.
05
Religious or personal exemptions: If you are claiming a religious or personal exemption for any vaccines, indicate this in the appropriate section of the form. Follow the instructions provided to include any required documentation or signatures.
06
Signature and date: Finally, sign and date the form to certify its accuracy and completeness. If required, you may also need to have the form signed by a healthcare provider or provide additional documentation.

Who needs Utah school immunization record:

01
Students enrolling in school: The Utah school immunization record is needed for any student enrolling in school, whether it's a public, private, or charter school. It is a requirement to ensure that students are vaccinated and protected against communicable diseases.
02
Parents or legal guardians: Parents or legal guardians are responsible for filling out the Utah school immunization record on behalf of their children. They are tasked with providing accurate and complete information about their child's immunization history.
03
Schools and educational institutions: Schools and educational institutions in Utah require the immunization record to track and monitor the vaccination status of their students. By maintaining these records, schools can ensure a safe and healthy environment for all students.
It is important to note that the specific requirements and regulations surrounding the Utah school immunization record may vary, so it is advisable to consult with your child's school or the Utah Department of Health for the most accurate and up-to-date information.
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People Also Ask about

2 MMR (mumps, measles, rubella) 3 Hepatitis B (HBV) 2 Varicella (chickenpox)
Vaccine Passport Prohibition, or HB 131, cleared the Utah Senate Wednesday after a 19-5 vote with five abstentions. It was a party-line vote with all Republicans voting for the bill and all Democrats voting against it. Of Southern Utah's senators, three of the four voted yes with Sen.
The new Utah Vaccine Passport Prohibition legislation (HB 131) prevents most Utah businesses from requiring employees or patrons to be vaccinated for any disease. The new law will take effect May 3, 2023.
Utah Governor Spencer J. Cox signed the bill on March 15, 2023. The law goes into effect on May 3, 2023. This new law prohibits most private employers from requiring proof of immunity or vaccination when making employment decisions.
For students entering seventh grade, the following vaccines are required: 1 dose Tdap. 3 doses Hepatitis B.Vaccination requirements, by grade 5 doses DTaP/DT. 4 doses Polio. 2 doses Measles, Mumps, Rubella (MMR) 3 doses Hepatitis B. 2 doses Hepatitis A. 2 doses Varicella (Chickenpox)
A school or early childhood program may conditionally enroll a student who is not appropriately immunized as required in this rule. To be conditionally enrolled, a student must have received at least one dose of each required vaccine and be on schedule for subsequent immunizations.

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The UT DoH School Immunization Record is an official document that tracks and verifies the immunization status of students in accordance with state requirements.
Parents or guardians of students, as well as schools, are required to file the UT DoH School Immunization Record to ensure compliance with immunization laws.
To fill out the UT DoH School Immunization Record, parents or guardians must provide information about the student, list all the administered vaccinations, and ensure that the record is signed by a healthcare provider.
The purpose of the UT DoH School Immunization Record is to maintain accurate immunization histories for students and to protect public health by ensuring that children are vaccinated as required by law.
The information that must be reported includes the child's name, date of birth, the vaccines received, dates of administration, and the signature of the healthcare provider.
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