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1Child Immunization History. S. 130A155. Submission of certificate to child care facility/G.S.130A154. Certificate of immunization. The parent/guardian must submit a certificate of immunization on

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How to fill out child immunization history

01

Gather all necessary information regarding the child's immunization history, such as previous vaccinations received and dates.

02

Obtain the child's immunization record form, either from the healthcare provider or online.

03

Start by filling out the child's personal information, including full name, date of birth, and contact details.

04

Proceed to enter the specific vaccines the child has received, specifying the vaccine name, date administered, and dosage.

05

If the child has not received any vaccines, mark the corresponding sections as 'Not Applicable'.

06

Ensure accuracy by cross-checking the information entered before submitting the form.

07

If unsure about any details, consult a healthcare provider for assistance in completing the child's immunization history form.

Who needs child immunization history?

01

Child immunization history is required for all children, particularly infants and young children.

02

Healthcare providers, schools, and childcare facilities often need the child's immunization history to ensure compliance with vaccination requirements.

03

Parents and guardians also benefit from maintaining an updated immunization history for their child's healthcare records and future reference.

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What is child immunization history?

Child immunization history is a record of the vaccinations a child has received.

Who is required to file child immunization history?

Parents or guardians of the child are required to file the child immunization history.

How to fill out child immunization history?

Child immunization history can be filled out by providing information about the vaccinations the child has received, including dates and types of vaccines.

What is the purpose of child immunization history?

The purpose of child immunization history is to keep a record of the vaccinations a child has received to ensure they are up-to-date with their immunizations.

What information must be reported on child immunization history?

Child immunization history must include details about each vaccination, such as the vaccine name, date administered, and dosage.

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