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New Student Immunization Questionnaire University of Colorado BoulderName: SID# Date of Birth: / / Meningococcal (Bacterial Meningitis) Disease Information Meningococcal disease is a serious disease,

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How to fill out new student immunization questionnaire

01

Obtain the new student immunization questionnaire form from the school or educational institution.

02

Read the instructions provided with the form carefully to understand the requirements.

03

Gather all necessary immunization records and documents for the student.

04

Fill out the personal information section of the form, including the student's full name, date of birth, and contact information.

05

Provide information about the student's previous immunizations, including the name of the vaccine, date administered, and healthcare provider.

06

If there are any additional immunizations required, indicate them in the appropriate section and provide details.

07

Review the completed form for accuracy and completeness. Make sure all required fields are filled out.

08

Sign and date the form in the designated area.

09

Submit the completed form to the school or educational institution as instructed.

Who needs new student immunization questionnaire?

01

Any new student who is enrolling in a school or educational institution is required to fill out the new student immunization questionnaire. This includes students who are entering preschool, kindergarten, elementary school, middle school, high school, or college/university.

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What is new student immunization questionnaire?

The new student immunization questionnaire is a form that collects information about a student's immunization history.

Who is required to file new student immunization questionnaire?

New students entering a school or educational institution are required to file the new student immunization questionnaire.

How to fill out new student immunization questionnaire?

The questionnaire can be filled out by providing information about the student's immunization records, including dates and types of vaccines received.

What is the purpose of new student immunization questionnaire?

The purpose of the questionnaire is to ensure that students are up to date with their immunizations to prevent the spread of vaccine-preventable diseases.

What information must be reported on new student immunization questionnaire?

The questionnaire typically requires information about the student's name, date of birth, immunization history, and contact information.

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