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School Immunization History FORM TO BE COMPLETED AT THE TIME OF REGISTRATION The Since Muskox District Health Unit is required under the Immunization of School Pupil s Act (SPA) to collect and maintain
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How to fill out school immunization history

How to fill out school immunization history:
01
Obtain a copy of the school immunization history form from your child's school or healthcare provider.
02
Fill in your child's personal information, including their full name, date of birth, and school they attend.
03
Provide information about your child's previous immunizations. This may include the date each vaccination was received, the vaccine name, and the provider who administered it.
04
If your child has not received all required immunizations, leave those sections blank or indicate that they are not yet vaccinated.
05
If your child has received any immunizations outside of the recommended schedule, note the reason for the delay or deviation.
06
Sign and date the form to verify the accuracy of the information provided.
Who needs school immunization history:
01
Students: All students attending school, both public and private, typically need to provide a school immunization history. This is to ensure that they have received the necessary vaccinations to protect against preventable diseases and to maintain a safe and healthy school environment.
02
Parents and guardians: It is the responsibility of parents or guardians to provide an accurate and up-to-date school immunization history for their child. This helps schools monitor and enforce immunization requirements and ensures that all students are adequately protected from vaccine-preventable illnesses.
03
Schools and healthcare providers: Schools and healthcare providers play a key role in maintaining immunization records and verifying the accuracy of the information provided. They use the school immunization history to assess compliance with state and local immunization requirements and to identify any potential gaps in the immunization status of students.
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What is school immunization history?
School immunization history is a record of a student's vaccination status or history.
Who is required to file school immunization history?
Parents or guardians of school-aged children are usually required to file school immunization history.
How to fill out school immunization history?
School immunization history can be filled out by providing documentation of the student's vaccinations from a healthcare provider.
What is the purpose of school immunization history?
The purpose of school immunization history is to ensure that students are up to date on their vaccinations to prevent the spread of communicable diseases.
What information must be reported on school immunization history?
Information such as the student's name, date of birth, vaccination dates, and types of vaccines administered must be reported on school immunization history.
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