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Cumulative Immunization Record SW OSU College of Pharmacy NAME: (Please Print) Last First Middle DOB: month/day/yearImmunizationSTUDENT ID: DateSignature/Title/Facility (ALL THREE REQUIRED) (may attach

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How to fill out cumulative immunization record

01

To fill out a cumulative immunization record, follow these steps:

02

Start by entering the patient's personal information, including their full name, date of birth, and address.

03

List all the recommended vaccines that the patient has received in chronological order. Include the date of each vaccination and the name of the vaccine.

04

Record any other relevant immunizations that the patient has received, even if they are not part of the routine immunization schedule.

05

Make sure to include any additional information required by your local health department, such as the lot number of the vaccine or the administering healthcare provider's name.

06

Review the completed form for accuracy and legibility, ensuring that all the required information is filled out correctly.

07

Store the cumulative immunization record in a safe place, such as a personal health file or a secure online portal, for easy access and future reference.

Who needs cumulative immunization record?

01

A cumulative immunization record is needed for:

02

- Infants, children, and teenagers who require routine vaccinations according to their age and the recommended immunization schedule.

03

- Adults who need to keep track of their immunization history, especially for vaccines like influenza, tetanus, or hepatitis B that may require periodic booster shots.

04

- Students enrolling in schools or colleges that require proof of immunization compliance.

05

- Individuals applying for certain jobs or visas that may require documented proof of immunization status.

06

- People traveling to certain countries or regions where certain vaccinations are mandatory or highly recommended.

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What is cumulative immunization record?

A cumulative immunization record is a comprehensive document that tracks an individual's vaccination history, including all the immunizations received over time.

Who is required to file cumulative immunization record?

Healthcare providers, schools, and other institutions that administer vaccinations are required to file cumulative immunization records to ensure compliance with public health regulations.

How to fill out cumulative immunization record?

To fill out a cumulative immunization record, one must include the individual's personal information, vaccination dates, types of vaccines administered, and any relevant physician or clinic details.

What is the purpose of cumulative immunization record?

The purpose of a cumulative immunization record is to maintain an accurate history of vaccinations for individuals, which is essential for public health tracking and ensuring community immunity.

What information must be reported on cumulative immunization record?

Information that must be reported includes the individual's name, date of birth, vaccination dates, type of vaccines, administering provider's information, and any booster shots received.

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