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OFFICE OF THE STATE CONTROLLER STATE MANDATED COST CLAIMING INSTRUCTIONS NO. 200915 IMMUNIZATION RECORDS REVISED JULY 1, 2015, In accordance with Government Code (GC) sections 17560 and 17561, eligible
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How to Fill Out Immunization Records Program No:

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Start by gathering all necessary information such as the person's full name, date of birth, and contact information.
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Contact the relevant healthcare provider or institution to obtain the specific immunization records program no form.
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Read the instructions provided on the form carefully to understand the required information and sections.
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Begin filling out the form by entering the individual's personal details, including their full name, date of birth, and any identifying numbers provided.
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Proceed to the immunization section of the form and enter the specific vaccines received by the individual.
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Provide the dates of each immunization and any additional information requested, such as the administering healthcare professional or the location where the vaccine was given.
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If applicable, include any exemptions or waivers that may be relevant to the immunization records.
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Double-check all entries for accuracy and completeness before submitting the form.
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Sign and date the form, as required, to certify the information provided.
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Submit the completed form to the designated authority or healthcare provider responsible for maintaining immunization records.

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The immunization records program number is a unique identifier assigned to an individual's immunization records.
Healthcare providers, schools, and daycare centers are required to file immunization records program numbers for their patients or students.
Immunization records program numbers can be filled out by entering the necessary information into the designated fields on the provided form.
The purpose of the immunization records program number is to track and monitor an individual's immunization history for public health purposes.
The information reported on the immunization records program number typically includes the individual's name, date of birth, immunization dates, and types of vaccines received.
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