IMM-1037 2001-2025 free printable template
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Documentation of Trap Administration Optional Form for Health Care Providers STUDENT NAME. (Last, First, Middle) DATE OF Trap NAME OF CHILD S PHYSICIAN OR AGENCY WHERE Trap ADMINISTERED MM / DD /
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How to fill out IMM-1037
How to fill out IMM-1037
01
Obtain the IMM-1037 form from the official government website.
02
Read the instructions carefully before filling out the form.
03
Complete the personal information section, including your full name, date of birth, and contact details.
04
Provide information about your immigration status and the purpose of your application.
05
Include details of any previous applications or submissions related to your case.
06
If applicable, list any family members included in your application.
07
Review the completed form for any errors or missing information.
08
Sign and date the form at the designated area.
09
Submit the form to the appropriate immigration office, either by mail or online, as instructed.
Who needs IMM-1037?
01
Individuals applying for certain types of immigration or citizenship status in Canada.
02
Applicants needing to declare their legal status or provide additional information for their application process.
03
Persons who have received a request for additional documentation related to their immigration files.
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How to document injection administration?
Job Aid Date of administration. Vaccine manufacturer. Vaccine lot number. Name and title of the person who administered the vaccine and address of the facility where the permanent record will reside. Vaccine information statement (VIS) Date printed on the VIS. Date the VIS was given to the patient or parent/guardian.
What is the correct administration for Tdap?
Administer all diphtheria, tetanus, and pertussis vaccines (DT, DTaP, Td, and Tdap) by the intramuscular route. The preferred injection site in infants and young children is the vastus lateralis muscle of the thigh. The preferred injection site in older children and adults is the deltoid muscle in the upper arm.
How do you administer the Tdap vaccine?
Administer all diphtheria, tetanus, and pertussis vaccines (DT, DTaP, Td, and Tdap) by the intramuscular route. The preferred injection site in infants and young children is the vastus lateralis muscle of the thigh. The preferred injection site in older children and adults is the deltoid muscle in the upper arm.
What is the most appropriate recommendation for administering Tdap?
Give one dose at each of these ages: 2 months, 4 months, 6 months, 15 through 18 months, and 4 through 6 years. Use DT for infants and children who should not receive acellular pertussis-containing vaccines. Give adolescents a single dose of Tdap, preferably at 11 to 12 years of age.
What is the code 90471 for vaccines?
Report codes 90471-90474 for immunization administration of any vaccine that is not accompanied by face-to-face physician or other qualified health care professional counseling the patient and/or family, or for patients over 18 years of age.
What is the full form of Tdap vaccine?
Tdap (combined tetanus, diphtheria and acellular pertussis) vaccine, which is given to adolescents and adults.
Which injection regimen is customary for the Tdap vaccination?
The DTaP dose is 0.5 mL and given intramuscularly.This process is possible with minimal intervals between doses. Dose 1 to dose 2 - four weeks. Dose 2 to dose 3 - four weeks. Dose 3 to dose 4 - six months; the minimum age for dose 4 is 12 months. Dose 4 to dose 5 - six months.
What are the 3 doses of Tdap?
Diphtheria, tetanus, and pertussis vaccines DTaP dose two given at age 4 months. Minimum interval between first and second doses is 4 weeks. DTaP dose three given at age 6 months. Minimum interval between second and third doses is 4 weeks.
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What is IMM-1037?
IMM-1037 is a form used by individuals to report certain information related to their immigration status in Canada.
Who is required to file IMM-1037?
Individuals who have applied for or are currently holding a temporary resident status in Canada may be required to file IMM-1037.
How to fill out IMM-1037?
To fill out IMM-1037, individuals should carefully read the instructions provided on the form, complete all required sections accurately, and submit it along with any necessary supporting documentation.
What is the purpose of IMM-1037?
The purpose of IMM-1037 is to collect essential information from temporary residents to help the Canadian government assess their immigration status and ensure compliance with immigration laws.
What information must be reported on IMM-1037?
The information that must be reported on IMM-1037 includes personal identity details, immigration status, purpose of stay in Canada, and any changes to the individual's circumstances.
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