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MANDATORY IMMUNIZATION FORM Return to: Counseling & Wellness Center 221 East 71st Streetwise 806 New York, NY 10021 Or, fax (212.774.0718), email (immunizations MMM.edu) or upload to your Slate profile
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How to fill out mandatory immunization form

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How to fill out mandatory immunization form

01
To fill out a mandatory immunization form, follow these steps:
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Start by gathering all the necessary information and documents, such as your immunization records and personal details.
03
Begin the form by providing your personal information, including your name, date of birth, address, and contact information.
04
Move on to the immunization section, where you will need to list each vaccine you have received. Include the vaccine name, date administered, and the healthcare provider or facility where you received it.
05
Make sure to review your immunization records carefully and double-check the information you provide on the form. Any mistakes or missing details can lead to delays or rejection of your form.
06
If there are any vaccines you have not yet received but are required by the form, consult with a healthcare professional to schedule and receive those vaccinations.
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Finally, sign and date the form to certify that the information you provided is accurate and complete.
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Submit the completed form to the appropriate authority or organization that requires it.

Who needs mandatory immunization form?

01
Mandatory immunization forms are typically required for individuals who are in certain age groups or are attending certain institutions, such as schools, colleges, or healthcare facilities.
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Common examples of individuals who may need to fill out a mandatory immunization form include:
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- Students entering kindergarten, primary school, or high school
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- College or university students
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- Healthcare professionals
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- Employees or volunteers at healthcare facilities
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- Individuals planning to travel internationally
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It's important to note that specific requirements may vary depending on the location and institution, so it's always recommended to check with the relevant authorities or organizations to determine if a mandatory immunization form is needed.
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A mandatory immunization form is a document that must be filled out to report an individual's vaccination status.
All individuals, typically students or employees, who are required to show proof of immunization.
The form can be filled out by providing information about the individual's vaccinations, including dates and types.
The purpose is to ensure that individuals are properly vaccinated to prevent the spread of contagious diseases.
Information such as the individual's name, date of birth, vaccination dates, and types of vaccines received.
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