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IMMUNIZATION RECORD Patient Name: Last (Family)Date of Birth / / month day yearFirstPlease record information for 1 4 (recommended not required)1.DIPHTHERIA AND TETANUS TOXINS(Trap)All students should
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How to fill out immunization record - university
How to fill out immunization record - university
01
Obtain a copy of the immunization record form from your university's health services department.
02
Review the requirements for immunization and make sure you understand what vaccines are required.
03
Gather all the necessary documentation, including your vaccination records and any medical exemptions or waivers if applicable.
04
Fill out the personal information section on the immunization record form, including your name, date of birth, and contact information.
05
Provide the dates of your immunizations and the types of vaccines you received. If you don't remember the exact dates, provide an approximate timeframe.
06
Attach copies of your vaccination records as proof of immunization.
07
If you have any medical exemptions or waivers, provide the necessary documentation and fill out the appropriate sections on the form.
08
Double-check that all the information on the form is accurate and complete.
09
Submit the immunization record form to your university's health services department as per their instructions.
10
Keep a copy of the completed form for your records.
Who needs immunization record - university?
01
Students who are attending a university or college need to fill out an immunization record. It is typically a requirement for enrollment to meet certain immunization requirements set by the institution. These requirements help ensure a healthy and safe environment for all students and minimize the risk of contagious diseases spreading on campus.
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