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CERTIFICATE OF IMMUNIZATION SEE THE BACK OF THIS FORM FOR IMMUNIZATION REQUIREMENTS AND ACCEPTABLE DOCUMENTATION. Keep a copy of the completed form for your records. Return documentation by MAIL or
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What is certificate of immunization?
A certificate of immunization is a document that provides proof of an individual's immunization status, showing that they have received the necessary vaccines to protect against certain diseases.
Who is required to file certificate of immunization?
The requirement to file a certificate of immunization usually applies to children attending schools or childcare centers, but it may vary depending on local regulations and policies.
How to fill out certificate of immunization?
To fill out a certificate of immunization, you typically need to provide information about the vaccines received, including the name of the vaccine, date of administration, and the healthcare provider or facility where the immunization was given.
What is the purpose of certificate of immunization?
The purpose of a certificate of immunization is to ensure that individuals are protected against vaccine-preventable diseases and to provide a record of their immunization history for various purposes, such as enrollment in schools or travel.
What information must be reported on certificate of immunization?
The information reported on a certificate of immunization typically includes the individual's name, date of birth, date of vaccination, vaccine name, and the signature or stamp of the administering healthcare provider.
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