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Clinical Administration 801 S. Paulina Room 301 Chicago, IL 60612MANDATORY MEDICAL IMMUNIZATION DOCUMENTATION FORM PART I: To be completed by the Student/Employee (Please Print)___/___/_________Last
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How to fill out vaccines and vaccine-preventable diseases

01
Research and understand the vaccines recommended for your age group and health condition
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Schedule an appointment with your healthcare provider to discuss the vaccines needed
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Fill out any necessary paperwork provided by the healthcare provider
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Receive the vaccines as recommended by the healthcare provider

Who needs vaccines and vaccine-preventable diseases?

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Vaccines are recommended for individuals of all ages, from infants to the elderly
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Those with certain health conditions or weakened immune systems may have specific vaccine recommendations
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It is important for everyone to stay up to date on vaccines to prevent the spread of vaccine-preventable diseases
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Vaccines are substances that help the body develop immunity to a specific disease. Vaccine-preventable diseases are illnesses that can be prevented by vaccination.
Healthcare providers and facilities are required to report vaccines and vaccine-preventable diseases to the appropriate public health authorities.
To fill out vaccines and vaccine-preventable diseases, healthcare providers must document the type of vaccine given, the date administered, and any adverse reactions.
The purpose of vaccines is to protect individuals and communities from infectious diseases by building immunity. Vaccine-preventable diseases can help prevent the spread of illnesses.
Information such as the type of vaccine administered, date of administration, patient demographics, and any adverse reactions must be reported on vaccines and vaccine-preventable diseases.
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