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This document is used to record a student's immunization history as part of their permanent school record, ensuring compliance with enrollment requirements in schools and early childhood programs
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How to fill out utah school immunization record

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How to fill out UTAH SCHOOL IMMUNIZATION RECORD

01
Obtain a UTAH SCHOOL IMMUNIZATION RECORD form from your child's school or the local health department.
02
Fill in the student's personal information, including name, date of birth, and school information.
03
List all the vaccinations your child has received according to Utah immunization requirements.
04
For each vaccine, include the date administered and the healthcare provider's signature or stamp.
05
Review the completed form for accuracy and ensure all required vaccines are documented.
06
Submit the filled-out UTAH SCHOOL IMMUNIZATION RECORD to your child's school prior to enrollment or as required.

Who needs UTAH SCHOOL IMMUNIZATION RECORD?

01
All students entering kindergarten or 7th grade in Utah public schools.
02
Students transferring to a new school in Utah.
03
Students participating in specific extracurricular activities or sports.
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People Also Ask about

USIIS is a confidential, web-based information system that contains immunization histories for Utah residents.
A parent may claim an exemption to immunization for medical, religious, or personal reasons, as allowed by Section 53G-9-303 of the Utah Statutory Code.
Option 1: Request a record from your healthcare provider Most healthcare providers in Utah use or are connected to the Utah Statewide Immunization Information System (USIIS). Contact your provider and ask if they can give you an Official USIIS Personal Utah Immunization Record.
Docket® partners with public health heroes to make it easier than ever for you to access personal and family immunization records directly from Alaska Department of Health, Idaho Department of Health and Welfare, Maine Department of Health and Human Services, Minnesota Department of Health, New Jersey Department of
1 Meningococcal. 1 Tdap (Tetanus/Diphtheria/acellular Pertussis) 2 Varicella (Chickenpox) 3 Hepatitis B.
Immunizing our children is a great way to keep them happy and healthy. Proof of immunization is a requirement for attendance at any school (kindergarten – 12th grade), Head Start, or childcare facility in Utah. An exemption may be granted for medical, religious, or personal reasons.
You can request an immunization record for yourself or your child from the Colorado Immunization Information System (CIIS). Immunization records from CIIS may not be complete. CIIS immunization records include what has been reported to and entered into CIIS.

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The UTAH SCHOOL IMMUNIZATION RECORD is an official document that tracks the immunizations received by students in Utah schools to ensure compliance with state immunization requirements.
Parents or guardians of students enrolling in Utah schools are required to file the UTAH SCHOOL IMMUNIZATION RECORD to provide proof of their child's immunizations.
To fill out the UTAH SCHOOL IMMUNIZATION RECORD, you should include the child's name, date of birth, the dates of vaccination for each required immunization, and the signature of the healthcare provider or school official verifying the immunizations.
The purpose of the UTAH SCHOOL IMMUNIZATION RECORD is to protect public health by ensuring that students are vaccinated against preventable diseases, thus maintaining a healthy school environment.
The information that must be reported includes the student's full name, date of birth, vaccine types, dates of administration for each vaccine, and any exemptions or exceptions if applicable.
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