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Certificate of Immunization Status (CIS)Reviewed by:Date:Signed COE on File? Yes Please print. See back for instructions on how to fill out this form or get it printed from the Washington State Immunization

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How to fill out certificate of immunization cis

01

Obtain the certificate of immunization form from a healthcare provider or school.

02

Fill in personal information such as name, date of birth, and address.

03

Provide details of immunizations received, including dates and types of vaccines.

04

Have a healthcare provider sign and stamp the form to validate the information.

05

Keep a copy of the completed certificate for your records.

Who needs certificate of immunization cis?

01

Anyone attending school or childcare facilities may need a certificate of immunization cis to verify vaccination status.

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What is certificate of immunization cis?

The certificate of immunization CIS is a document that shows proof of a person's immunization status.

Who is required to file certificate of immunization cis?

All individuals, especially students, are required to file a certificate of immunization CIS as part of school admission requirements.

How to fill out certificate of immunization cis?

To fill out a certificate of immunization CIS, one must provide information on the dates and types of vaccinations received, as well as any medical exemptions.

What is the purpose of certificate of immunization cis?

The purpose of the certificate of immunization CIS is to ensure that individuals are protected against preventable diseases by documenting their vaccination history.

What information must be reported on certificate of immunization cis?

The certificate of immunization CIS must include information on the individual's name, date of birth, vaccination dates, types of vaccinations received, and any medical exemptions.

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