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UTAH SCHOOL IMMUNIZATION RECORD This record is part of the students permanent school record (cumulative folder) as defined in Section 53G9306 of the Utah Statutory Code and shall transfer with that

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How to fill out utah school immunization record

01

To fill out the Utah school immunization record, follow these steps:

02

Obtain a copy of the Utah school immunization record form from your child's school or the Utah Department of Health.

03

Fill in your child's personal information at the top of the form, including their full name, date of birth, and contact information.

04

Provide the dates of each vaccine your child has received. Include the vaccine name, manufacturer, lot number, and expiration date.

05

Make sure to include the healthcare provider's information who administered the vaccines.

06

If there are any conditional vaccines that your child has not received, there is a section to indicate the reason why.

07

Review the completed form for accuracy and completeness.

08

Sign and date the form.

09

Submit the filled-out Utah school immunization record to your child's school or the appropriate authority as requested.

Who needs utah school immunization record?

01

Anyone who is attending school in Utah, including public, private, or charter schools, needs a Utah school immunization record.

02

This includes children enrolling in preschool, kindergarten, elementary, middle, and high schools.

03

Additionally, college students and those entering certain vocational or technical programs may also need to provide a completed immunization record.

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What is utah school immunization record?

Utah school immunization record is a document that contains information about the immunization status of students attending schools in Utah.

Who is required to file utah school immunization record?

Parents or legal guardians of students are required to file the Utah school immunization record.

How to fill out utah school immunization record?

To fill out the Utah school immunization record, parents or legal guardians must provide information about the student's immunization history, including dates and types of vaccines received.

What is the purpose of utah school immunization record?

The purpose of the Utah school immunization record is to ensure that students are up to date on their required vaccinations to attend school and to prevent the spread of vaccine-preventable diseases.

What information must be reported on utah school immunization record?

The Utah school immunization record must include the student's name, date of birth, vaccine history, and the signatures of the parent or legal guardian.

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