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FACULTY OF DENTISTRY IMMUNIZATION/CPR RECORD Last NameFirst NameMiddle InitialBanner ID #Birth Date (DD/MM/BY)Phonemicizing AddressEmailDegree, Program or Position (Check One) Bachelor of Dental Hygiene
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01
To fill out the immunization record 1111doc, follow these points:
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Start by entering the personal information of the patient, including their name, date of birth, and contact information.
03
Record the date of each immunization received by the patient.
04
Specify the type of immunization administered, along with the manufacturer and lot number of the vaccine.
05
Indicate the route of administration, such as oral, intramuscular, or intravenous.
06
Note the dose or amount of each vaccine given.
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Include the name and signature of the healthcare provider who administered the immunization.
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Make sure to include any additional important information or remarks regarding the immunization.
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Review the completed form to ensure accuracy and legibility.
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Store the completed immunization record 1111doc in a safe and easily accessible location.
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Remember to update the record whenever new immunizations are received.

Who needs immunization record 1111doc?

01
Immunization record 1111doc is needed by individuals who have received immunizations or vaccinations.
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It is particularly useful for parents/guardians of infants, children, and adolescents, as well as healthcare providers and schools.
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Having an accurate and up-to-date immunization record is essential for monitoring and tracking vaccinations, ensuring proper healthcare, and complying with immunization requirements.
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Immunization record 1111doc is a standardized document used to track and report an individual's immunization history and vaccination status.
Individuals, parents, or guardians of minors, as well as healthcare providers and schools, are required to file the immunization record 1111doc.
To fill out the immunization record 1111doc, enter the individual's personal information, including their name and date of birth, along with details of each vaccination received, such as the date, vaccine type, and administering healthcare provider.
The purpose of immunization record 1111doc is to provide an official record of vaccinations to ensure compliance with public health requirements and to facilitate access to necessary immunizations.
The information that must be reported includes the individual's name, date of birth, vaccination dates, types of vaccines administered, and the name of the healthcare provider who administered the vaccines.
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