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This form is required for all students age 26 and under to provide proof of immunizations prior to registration as per the District of Columbia Immunization Law. The form must be completed and signed
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How to fill out IMMUNIZATION FORM

01
Obtain the IMMUNIZATION FORM from your healthcare provider or relevant authority.
02
Fill in your personal information including name, date of birth, and contact details.
03
List all previous vaccinations you have received, including dates and types of vaccines.
04
If you are unsure about your vaccination history, consult with your healthcare provider.
05
Provide information on any allergies or medical conditions that might affect vaccination.
06
Review the completed form for accuracy.
07
Submit the form to the appropriate agency or keep a copy for your records.

Who needs IMMUNIZATION FORM?

01
Individuals seeking enrollment in school or daycare.
02
People traveling to certain countries that require specific vaccinations.
03
Patients before certain medical procedures or surgeries.
04
Individuals applying for jobs in specific sectors like healthcare or education.
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People Also Ask about

Vaccines help protect against many diseases that used to be much more common. Examples include tetanus, diphtheria, mumps, measles, pertussis (whooping cough), meningitis, and polio. Many of these infections can cause serious or life-threatening illnesses and may lead to life-long health problems.
Background. Under-immunization refers to a state of sub-optimal protection against vaccine preventable diseases. Vaccine coverage for age may not capture intentional or non-intentional spacing of vaccines in the recommended provincial immunization guidelines.
Vaccination is the administration of a vaccine to help the immune system develop immunity from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism.
Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or your child received. This record may be required for certain jobs, travel abroad, or school registration. Adult Vaccination Records.
Vaccines help protect against many diseases that used to be much more common. Examples include tetanus, diphtheria, mumps, measles, pertussis (whooping cough), meningitis, and polio. Many of these infections can cause serious or life-threatening illnesses and may lead to life-long health problems.
Immunization is the process of giving a vaccine to a person to protect them against disease. Immunity (protection) by immunization is similar to the immunity a person would get from disease, but instead of getting the disease you get a vaccine. This is what makes vaccines such powerful medicine.
Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or your child received. This record may be required for certain jobs, travel abroad, or school registration. Adult Vaccination Records.

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The Immunization Form is a document used to record an individual's vaccination history, including dates of vaccinations and the types of vaccines received.
Individuals entering school or childcare, employees in healthcare settings, and those traveling to certain countries may be required to file an Immunization Form.
To fill out the Immunization Form, individuals must provide personal information, list required vaccinations along with their dates, and may need to obtain signatures from healthcare providers.
The purpose of the Immunization Form is to ensure that individuals have received recommended vaccinations, to track immunization status, and to prevent the spread of vaccine-preventable diseases.
The Immunization Form must report personal information such as name, date of birth, and contact information, along with details of each vaccination, including the vaccine type, dates administered, and the administering provider.
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