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OF 13 CONFIDENTIAL Occupational Health Immunization Record for Medical Students Please ask your doctor or practice nurse to complete this form giving dates of immunization. If available, please attach

How to fill out immunisation record form

How to fill out an immunisation record form:

1. Start by gathering all the necessary information, such as the name and date of birth of the person receiving the immunisation, as well as their contact details.
2. Next, record the vaccine name, manufacturer, and lot number. This information can usually be found on the vaccine vial or packaging.
3. Indicate the date of each immunisation dose received, ensuring that it is accurately recorded.
4. If applicable, note down any adverse reactions or side effects experienced after receiving the vaccine. This is important for tracking and reporting purposes.
5. Include the signature of the healthcare professional administering the immunisation, along with the date.

Who needs an immunisation record form:

1. All individuals who receive immunisations, including infants, children, and adults, should have an immunisation record form.
2. Parents or guardians of young children should keep a record of their child's immunisations to ensure they remain up-to-date and to provide proof of immunisation when necessary, such as for school enrollment.
3. Healthcare professionals and vaccination providers also require immunisation record forms to maintain accurate records and monitor immunisation coverage rates.

Remember, it is crucial to keep the immunisation record form in a safe and easily accessible place, as it serves as an important document for personal health records and public health monitoring.

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What is immunisation record form?

Immunisation record form is a document that contains information about an individual's vaccination history.

Who is required to file immunisation record form?

Parents or guardians of children, schools, healthcare providers, and public health authorities are required to file immunisation record forms.

How to fill out immunisation record form?

Immunisation record forms can be filled out by entering the individual's personal information, vaccination dates, and vaccine types administered.

What is the purpose of immunisation record form?

The purpose of immunisation record form is to track and document an individual's immunisation history to ensure they are up to date on vaccinations.

What information must be reported on immunisation record form?

Information such as personal details, vaccination dates, vaccine types, and healthcare provider information must be reported on the immunisation record form.