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LAST REVISED October 20, 2015De Anna Nursing School Immunization Worksheet NEW NURSING STUDENT REQUIREMENTS: Documentation is due the first day of the quarter, prior to the Student Assembly, and MUST

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What is 11-immunization worksheet?

The 11-immunization worksheet is a form used to track and record a person's immunization history.

Who is required to file 11-immunization worksheet?

Anyone who needs to provide proof of immunization status, such as students, healthcare workers, or travelers, may be required to file an 11-immunization worksheet.

How to fill out 11-immunization worksheet?

To fill out an 11-immunization worksheet, you need to provide details about the vaccines received, dates of administration, and any relevant medical history related to immunization.

What is the purpose of 11-immunization worksheet?

The purpose of the 11-immunization worksheet is to ensure individuals are properly immunized and to maintain accurate immunization records for tracking purposes.

What information must be reported on 11-immunization worksheet?

Information such as vaccine names, dates of administration, healthcare provider information, and any medical exemptions or contraindications must be reported on the 11-immunization worksheet.

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