Get the free Immunisation history statements for children - Better Health ... - dalps wa edu
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1 2 3 4 5 6 7 8OFFICE USE ONLY Date received: Year Level:. Birth certificate/Passport/Travel document sighted (Circle). AIR immunization history statement YES NO Student resides within local intake
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How to fill out immunisation history statements for
How to fill out immunisation history statements for
01
Obtain the immunization history statement form from the healthcare provider or download it from the official website.
02
Fill in your personal information such as name, date of birth, address, and contact details.
03
Provide details about your immunization history, including the vaccines you have received, dates of vaccination, and the healthcare facility where you received them.
04
If you have any medical conditions or contraindications to certain vaccines, make sure to mention them in the appropriate section.
05
Sign and date the form to certify that the information provided is true and accurate.
06
If required, attach any supporting documents or medical records related to your immunization history.
07
Submit the completed immunization history statement to the designated authority or healthcare provider.
Who needs immunisation history statements for?
01
Individuals who are required to provide proof of immunization for various purposes such as:
02
- Enrolling in educational institutions, including schools, colleges, and universities.
03
- Applying for employment in certain industries or job positions.
04
- Traveling to certain countries or regions that require vaccination documentation.
05
- Participating in specific activities or events that mandate immunization.
06
- Seeking medical treatment or admission to healthcare facilities.
07
Furthermore, anyone concerned about their immunization status or wanting to keep a record of their vaccinations can also request an immunization history statement.
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What is immunisation history statements for?
Immunisation history statements provide a record of an individual's vaccination status and are used to confirm that a person has received the necessary immunisations according to public health guidelines.
Who is required to file immunisation history statements for?
Healthcare providers, schools, and sometimes parents or guardians are required to file immunisation history statements for individuals, particularly minors or those starting new education or employment.
How to fill out immunisation history statements for?
To fill out immunisation history statements, one must provide accurate details of the individual's immunisations, including dates of vaccination, types of vaccines received, and the provider's information.
What is the purpose of immunisation history statements for?
The purpose of immunisation history statements is to document vaccination status and ensure individuals meet immunisation requirements for school enrollment, employment, and travel.
What information must be reported on immunisation history statements for?
Information that must be reported includes the individual's name, date of birth, list of administered vaccines, dates of administration, and details of the healthcare provider.
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