Get the free Immunization Information (page 1 of 2)

Immunization Information (page 1 of 2) Due one week prior to start of academic year Return forms in envelope provided, mail or fax to: Student Health Services 2043 College Way, Forest Grove, OR 97116

How to fill out immunization information page 1

How to fill out immunization information page 1

1. Start by gathering all relevant information about the person receiving the immunization.
2. Obtain the immunization records and any necessary documentation.
3. Ensure you have a copy of the immunization information page 1.
4. Fill out the personal details section accurately, including the person's name, date of birth, gender, and contact information.
5. Provide information about the person's healthcare provider, including their name and contact details.
6. Indicate the type of immunization received or to be received.
7. Enter the dates of immunization, including the month, day, and year for each specific vaccine.
8. If applicable, include any additional comments or notes regarding the immunization.
9. Review the completed form for accuracy and legibility.
10. Submit the form to the appropriate authority or healthcare provider, as instructed.

Who needs immunization information page 1?

1. Anyone who has received or is planning to receive immunization should fill out page 1 of the immunization information form.
2. This includes individuals of all ages, from infants to adults.
3. Parents or legal guardians may fill out the form on behalf of children.
4. Healthcare providers and hospitals may also need to complete page 1 for their patients.
5. The form is necessary to maintain accurate records of immunization history and ensure proper healthcare.

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What is immunization information page 1?

Immunization information page 1 is a form used to report immunization records for individuals.

Who is required to file immunization information page 1?

Parents or guardians of school-aged children are typically required to file immunization information page 1 with their child's school.

How to fill out immunization information page 1?

Immunization information page 1 should be filled out with accurate and up-to-date immunization records of the individual.

What is the purpose of immunization information page 1?

The purpose of immunization information page 1 is to ensure that individuals are up-to-date on their required vaccinations.

What information must be reported on immunization information page 1?

The information reported on immunization information page 1 includes the individual's name, date of birth, vaccine records, and any exemptions.