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IMMUNIZATION & COMMUNICABLE DISEASE RECORD To be COMPLETED for all HEALTH CARE WORKERS (see definition on reverse). Compliance with the WHA Immunization Policy is a condition of employment. Name:
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How to fill out immunization amp communicable disease

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How to fill out immunization amp communicable disease

01
To fill out immunization and communicable disease forms, follow these steps:
02
Start by gathering all necessary personal information of the individual receiving immunization:
03
- Full name
04
- Date of birth
05
- Contact information
06
- Address
07
Review the immunization or disease form to understand the specific requirements and sections that need to be completed.
08
Identify the immunizations or diseases for which the form needs to be filled out.
09
- Make sure you have accurate and up-to-date information about the immunizations or diseases.
10
Gather information about the individual's immunization history or previous diseases.
11
- This may include vaccination dates, vaccine names, healthcare provider information, and any relevant medical records.
12
Complete the form by providing the required information in each section.
13
- Fill in all relevant dates, names of vaccines or diseases, and any specific details requested.
14
- Ensure that the information provided is accurate and legible.
15
If any sections are not applicable to the individual, mark them as N/A (not applicable).
16
Review the completed form for any errors or missing information.
17
Sign and date the form, indicating your responsibility for the accuracy of the information provided.
18
Submit the completed form to the appropriate recipient, such as a healthcare provider or public health department.
19
Keep a copy of the completed form for your records.
20
Remember to consult with healthcare professionals or authorities if you have any questions or need assistance in filling out the forms.

Who needs immunization amp communicable disease?

01
Immunization and communicable disease control are essential for:
02
- Infants and children: They require immunization as per the recommended schedule to build immunity and prevent diseases.
03
- Adolescents: Certain vaccines or boosters are recommended during adolescence to protect against specific diseases or outbreaks.
04
- Adults: Depending on their medical history, occupation, travel destinations, or personal choices, adults may need certain immunizations or need to be aware of communicable diseases.
05
- Healthcare professionals: They are at higher risk of exposure to communicable diseases and need to be up to date with immunization to protect themselves and their patients.
06
- Individuals with compromised immune systems: People with weakened immune systems, such as those with chronic illnesses or undergoing medical treatments, may need additional immunizations and precautions.
07
- Travelers: Depending on the destination, travelers may need specific immunizations to protect against region-specific diseases.
08
- Individuals in high-risk environments: This includes people living or working in crowded settings, communal facilities, or areas with known disease outbreaks.
09
- Anyone interested in preventing the spread of diseases and protecting public health.
10
It is advisable to consult healthcare professionals or follow official immunization guidelines to determine the specific immunization and disease control needs for individuals.
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