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5320 F2/page 1 of 1ELIDA LOCAL SCHOOLS
LEGAL IMMUNIZATION EXEMPTION
(Per Ohio Statute 3313.671 (Exemptions)Student:___ Date of Birth:___
School:___
City:___
AS LEGAL PARENT(S)/GUARDIAN(S):___
**I
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How to fill out mandatory immunization form
How to fill out mandatory immunization form
01
Gather necessary documents such as immunization records and personal information.
02
Complete all sections of the form accurately.
03
Provide documentation of all required vaccinations, including dates.
04
Submit the form to the designated healthcare provider or institution.
Who needs mandatory immunization form?
01
Anyone attending school or college.
02
Individuals working in healthcare or childcare settings.
03
International travelers to certain countries.
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What is mandatory immunization form?
The mandatory immunization form is a document that verifies that an individual has received all required vaccinations.
Who is required to file mandatory immunization form?
All individuals, including children and adults, are required to file the mandatory immunization form.
How to fill out mandatory immunization form?
The mandatory immunization form can be filled out by providing information about the individual's vaccination history, including dates of vaccination and types of vaccines received.
What is the purpose of mandatory immunization form?
The purpose of the mandatory immunization form is to ensure that individuals are adequately protected against preventable diseases.
What information must be reported on mandatory immunization form?
The mandatory immunization form must include details about the individual's vaccination history, such as the names of vaccines received and dates of administration.
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