Get the free Certificate of Immunization Status form - Washington State Department ...

Certificate of Immunization Status (CIS) DOH 348013 January 2010 Please print. See back for instructions on how to fill out this form or get it printed from the Immunization Registry. Child's Last

How to fill out certificate of immunization status

How to fill out certificate of immunization status

1. Start by gathering all the necessary information, including the individual's personal details, such as name, date of birth, and contact information.
2. Ensure you have a copy of the immunization record, which should list all the vaccines the individual has received and the dates they were administered.
3. Review the requirements of the certificate of immunization status form to understand what information needs to be included.
4. Fill in the personal details section of the form accurately, ensuring there are no errors or omissions.
5. Transfer the information from the immunization record onto the form, indicating the specific vaccines received and the corresponding dates.
6. Double-check all the information filled out on the form for accuracy.
7. If required, have a healthcare professional or authorized personnel verify and sign the form to certify its authenticity.
8. Submit the completed certificate of immunization status form to the appropriate institution or organization that requires it.
9. Keep a copy of the filled-out form for your records in case it is needed in the future.
10. Update the certificate of immunization status whenever new vaccines are received to ensure it remains up to date.

Who needs certificate of immunization status?

1. A certificate of immunization status is typically required for various purposes, including:
2. - School admissions: Many schools and educational institutions require proof of immunization before allowing enrollment.
3. - Employment: Certain jobs, especially those in healthcare or childcare settings, may require employees to provide a certificate of immunization status.
4. - Travel: Some countries or regions may request a certificate of immunization status for individuals entering or exiting their borders.
5. - Public health emergencies: During outbreaks or pandemics, proving immunization status may be necessary to ensure public safety and prevent the spread of diseases.
6. - Special programs or events: Certain programs or events, such as summer camps or sports competitions, may require participants to provide proof of immunization.

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What is certificate of immunization status?

The certificate of immunization status is a document that records an individual's vaccination history.

Who is required to file certificate of immunization status?

All students, including children and adults, are required to file a certificate of immunization status.

How to fill out certificate of immunization status?

To fill out a certificate of immunization status, you must provide information about the vaccines you have received and the dates of administration.

What is the purpose of certificate of immunization status?

The purpose of the certificate of immunization status is to ensure that individuals are properly vaccinated to protect against communicable diseases.

What information must be reported on certificate of immunization status?

The certificate of immunization status must include the individual's name, date of birth, vaccine information, and dates of administration.