Get the free Certificate of Immunization Status (CIS)

This document is used to verify and record the immunization status of a child, detailing required vaccines for school and child care, and providing options for documenting disease immunity.

How to fill out certificate of immunization status

How to fill out Certificate of Immunization Status (CIS)

1. Obtain a blank Certificate of Immunization Status (CIS) form from your healthcare provider or online.
2. Fill in your personal information at the top of the form, including your name, date of birth, and contact information.
3. List all vaccinations received, including the date and type of each vaccine (e.g., measles, mumps, rubella).
4. Ensure that the dates are clearly written and follow the correct format (month/day/year).
5. If applicable, include any booster shots or additional immunizations required.
6. Have a healthcare provider review and validate the information if necessary.
7. Sign and date the form where indicated, to certify the accuracy of the information.
8. Make copies for your records before submitting the form to the intended institution.

Who needs Certificate of Immunization Status (CIS)?

1. Students entering school for the first time.
2. Individuals attending college or university.
3. Employees in certain healthcare or education roles.
4. Anyone who is required to show proof of immunization for travel or employment purposes.

People Also Ask about

How can I get my old immunization records?

There are two ways to verify immunization history: Vaccination records from health care providers: Confirm when, where and by whom certain vaccines were administered. When these records are unavailable: Results of a blood titer test can provide the documentation that a school or workplace may need.

What is an example of immunization?

Immunization is the process of giving a vaccine to a person to protect them against disease. Immunity (protection) by immunization is similar to the immunity a person would get from disease, but instead of getting the disease you get a vaccine. This is what makes vaccines such powerful medicine.

What does immunization status mean?

• Complete or fully immunization status means that a child has. received all immunizations required for age. Conditional. • Conditional immunization status refers to a temporary status. when a child does not have an immunization against one or more of the vaccine-preventable diseases required by law.

What is the immunization status?

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.

What is the test for immunization status?

Serology testing is used to detect antibodies that indicate previous vaccination or exposure to diseases. The results of these tests can be used to determine a medically appropriate vaccination schedule.

For pdfFiller’s FAQs

What is Certificate of Immunization Status (CIS)?

The Certificate of Immunization Status (CIS) is an official document that records an individual's vaccination history, including the types of vaccines received and the dates they were administered.

Who is required to file Certificate of Immunization Status (CIS)?

Individuals enrolling in schools or childcare facilities, particularly children and students, are typically required to file a Certificate of Immunization Status (CIS) to demonstrate their vaccination compliance.

How to fill out Certificate of Immunization Status (CIS)?

To fill out the Certificate of Immunization Status (CIS), an authorized healthcare provider should complete the form by providing the individual's vaccination details, including the names of the vaccines, dates of administration, and any exemptions if applicable.

What is the purpose of Certificate of Immunization Status (CIS)?

The purpose of the Certificate of Immunization Status (CIS) is to ensure that individuals have received the necessary vaccinations required for public health and safety, particularly in schools and childcare settings.

What information must be reported on Certificate of Immunization Status (CIS)?

The Certificate of Immunization Status (CIS) must include the individual's full name, date of birth, a list of vaccines received, the dates of each vaccination, and any medical exemptions or previous illnesses that may affect vaccination status.