Get the free Certificate of Immunization - Montana DPHHS
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Health Form Instructions
Include the students name, date of birth, student ID×, and age on all correspondence. Print all
student information legibly. Have a licensed medical provider fill out and
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What is certificate of immunization?
Certificate of immunization is an official document that shows a person has been vaccinated against certain diseases.
Who is required to file certificate of immunization?
All students attending school are required to file a certificate of immunization.
How to fill out certificate of immunization?
The certificate of immunization must be filled out by a healthcare provider or clinic administering the vaccines.
What is the purpose of certificate of immunization?
The purpose of certificate of immunization is to ensure that individuals are protected against communicable diseases.
What information must be reported on certificate of immunization?
The certificate of immunization must include the individual's name, date of birth, vaccines received, and dates of vaccination.
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