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Get the free Certificate of Immunization Status (CIS) - Yakima School District

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Yakima School DistrictOperational Procedure 3413.4XECertificate of Immunization Status (CIS)Reviewed by:Date:Signed COE on File? Yes Please print. See back for instructions on how to fill out this
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How to fill out certificate of immunization status

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How to fill out certificate of immunization status

01
Obtain the certificate of immunization status form from the healthcare provider or school.
02
Fill out your personal information such as your name, date of birth, and contact information.
03
Provide details of the immunizations you have received, including the dates they were administered and the type of vaccine.
04
Have a healthcare provider verify and sign the form to confirm the accuracy of the information.
05
Submit the completed form to the appropriate institution or organization requiring the certificate of immunization status.

Who needs certificate of immunization status?

01
Individuals attending school or university
02
Individuals traveling to certain countries
03
Individuals entering certain professions such as healthcare or education
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The certificate of immunization status is a document that provides evidence of a person's immunization history and current immunization status.
Individuals, such as students or employees, who are subject to immunization requirements are required to file a certificate of immunization status.
The certificate of immunization status can be filled out by providing information about the individual's immunization history, including dates of immunizations and vaccines received.
The purpose of the certificate of immunization status is to document and verify an individual's immunization status in compliance with immunization requirements.
The certificate of immunization status must include information such as the individual's name, date of birth, healthcare provider information, and dates of immunizations.
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