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202021 INSTRUCTIONS and WORKSHEET
To be used to assist in preparing the required:
SUMMARY REPORT ON THE IMMUNIZATION STATUS OF INCOMING
12th GRADERS IN YOUR SCHOOL
Ohio Revised Code section 3313.67
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How to fill out 2020-21 grade 12 immunization

How to fill out 2020-21 grade 12 immunization
01
Gather all necessary documents such as your vaccination records and personal information.
02
Complete the necessary forms provided by your school or healthcare provider.
03
Ensure that you have the required vaccines for grade 12 immunization, which may include vaccines for diseases such as measles, mumps, rubella, tetanus, diphtheria, and pertussis.
04
Schedule an appointment with your healthcare provider or visit a designated immunization clinic.
05
Attend the appointment or clinic and provide all necessary documentation.
06
Receive the recommended vaccines as per the immunization schedule.
07
Keep a copy of your immunization records for future reference and submit any required documentation to your school or educational institution.
Who needs 2020-21 grade 12 immunization?
01
Any individual who is in grade 12 for the academic year 2020-21 needs to have the grade 12 immunization.
02
This includes students who are enrolled in high school, vocational school, or any other educational program equivalent to grade 12.
03
It is a requirement to ensure the overall health and well-being of students and to prevent the spread of vaccine-preventable diseases within the school or educational setting.
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What is 21 grade 12 immunization?
21 grade 12 immunization refers to the required vaccinations and health records students must have completed before graduating from high school, particularly for those in the twelfth grade.
Who is required to file 21 grade 12 immunization?
Students in the twelfth grade are required to file the 21 grade 12 immunization to ensure they meet health regulations set by educational institutions.
How to fill out 21 grade 12 immunization?
To fill out the 21 grade 12 immunization form, students must provide details about their immunization history, including vaccinations received, dates, and any exemptions if applicable.
What is the purpose of 21 grade 12 immunization?
The purpose of the 21 grade 12 immunization is to protect public health by ensuring that students are vaccinated against preventable diseases before graduating from high school.
What information must be reported on 21 grade 12 immunization?
The information that must be reported includes the student's personal information, a list of vaccinations received, the dates of these vaccinations, and any medical exemptions.
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