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Immunization history statement online version As at: 02 June 2014 For: KIRSTEN M CHU Date of birth:13 May 2005ScheduleImmunisationDate firebrand name givenProvider type2 monthsDiphtheria Tetanus Pertussis
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How to fill out immunisation history statement

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How to fill out immunisation history statement

01
To fill out the immunisation history statement, follow these steps:
02
Start by gathering all the necessary information about your immunisation history. This includes the dates and types of vaccines you have received.
03
Obtain an official immunisation history statement form. This can usually be obtained from your healthcare provider or local health department.
04
Fill in your personal information on the form, such as your full name, date of birth, and contact information.
05
Provide accurate details about each vaccine you have received. Include the date of each vaccination, the vaccine name, and the dose given.
06
If you have lost your immunisation records, contact your healthcare provider to request a copy. They can provide you with the necessary information to complete the form.
07
Double-check your completed form for any errors or missing information. Ensure that all dates and vaccine names are clearly written.
08
Sign and date the form to certify that the information provided is accurate to the best of your knowledge.
09
Submit the completed immunisation history statement to the relevant authority or organization that requires it. This may be a school, employer, or government agency.
10
Keep a copy of the form for your records, as you may need to provide it in the future for various purposes.

Who needs immunisation history statement?

01
Anyone who requires proof of their immunisation history may need an immunisation history statement.
02
Specific individuals who may need an immunisation history statement include:
03
- Students enrolling in school or college
04
- Healthcare workers
05
- Individuals applying for certain jobs
06
- Individuals planning to travel to certain countries
07
- Those participating in certain programs or activities that require immunisation records
08
It is always best to check with the specific organization or authority requiring the immunisation history statement to determine if it is necessary for your situation.
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