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GREAT NECK PUBLIC SCHOOLS Health Services Immunization Record NAME DOB SCHOOL ADDRESS PHONE GRADE TEACHER Under section 2164 of the New York State Public Health Law, all children attending school,
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How to fill out immunization record - great

How to fill out immunization record - great
01
Step 1: Obtain the immunization record form from your healthcare provider or download it from the official website.
02
Step 2: Gather all the necessary information, including the dates and types of immunizations received.
03
Step 3: Start filling out the form by entering your personal details, such as your name, date of birth, and contact information.
04
Step 4: Proceed with recording the immunization details by providing the vaccine name, dose, and administration date for each immunization received.
05
Step 5: If applicable, indicate any specific brand or manufacturer of the vaccine used.
06
Step 6: Don't forget to include the healthcare professional's signature, stamp, or other identifying information as required.
07
Step 7: Review the completed form for accuracy and make any necessary corrections or additions.
08
Step 8: Keep a copy of the filled-out immunization record for your personal records and provide a copy to the relevant authorities or organizations as needed.
Who needs immunization record - great?
01
Anyone who has received immunizations should have an immunization record.
02
This includes individuals of all ages, from infants to adults.
03
Parents or guardians should maintain an immunization record for their children.
04
Healthcare providers, schools, and other organizations may also require individuals to provide a copy of their immunization record.
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What is immunization record?
Immunization record is a document that shows the vaccines a person has received.
Who is required to file immunization record?
All individuals, especially children, are required to file immunization record.
How to fill out immunization record?
Immunization record can be filled out by healthcare providers or parents/guardians with the help of healthcare providers.
What is the purpose of immunization record?
The purpose of immunization record is to keep track of the vaccines a person has received and ensure they are up to date.
What information must be reported on immunization record?
Immunization record must include the date of each vaccine dose, the vaccine administered, and the lot number.
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