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Student Immunization Record Form Metropolitan College of New York Admissions Office 60 West Street New York, NY 10006 Phone: 180033THINK ext. 5001 Facsimiles: 212.343.8470 www.mcny.edu admissions@metropolitan.eduLast
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How to fill out student immunization record form
How to fill out student immunization record form
01
To fill out the student immunization record form, follow these steps:
02
Start by providing your personal information such as your name and date of birth.
03
Fill in the contact details including your address, phone number, and email address.
04
Indicate your school or educational institution on the form.
05
Enter the date of enrollment or admission.
06
Provide details of the required immunizations, including the dates they were administered.
07
Specify the type of immunization received, such as MMR (measles, mumps, rubella) vaccine or DTaP (diphtheria, tetanus, acellular pertussis) vaccine.
08
If applicable, mention any immunization exemptions or waivers.
09
Sign and date the form to validate the information provided.
10
Make sure to attach any supporting documents or medical records, if required.
11
Double-check the form for any errors or missing information before submitting it.
12
Submit the completed form to the appropriate authorities or school administration.
Who needs student immunization record form?
01
The student immunization record form is necessary for:
02
- Students enrolling in educational institutions such as schools, colleges, or universities.
03
- Students who may participate in specific programs or activities that require immunization records.
04
- Students who need to comply with state or national immunization requirements.
05
- Students who are transitioning to a new school or educational institution.
06
- Students who may be traveling internationally as part of an educational program.
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What is student immunization record form?
The student immunization record form is a document that shows a student's vaccination history and immunization status.
Who is required to file student immunization record form?
All students attending school are required to have a completed student immunization record form on file.
How to fill out student immunization record form?
To fill out the student immunization record form, parents or guardians need to provide information about the student's vaccinations, including dates and types of vaccines received.
What is the purpose of student immunization record form?
The purpose of the student immunization record form is to ensure that all students are up to date on their vaccinations to protect against preventable diseases.
What information must be reported on student immunization record form?
The student immunization record form must include information on each vaccine dose received by the student, including the vaccine name, date given, and healthcare provider.
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