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Certificate of Immunization Status(CIS)Reviewed by:. Date:Signed COE on File? Yes No Washington State Immunization Information System (IIS), ) . :: :(//) : / Immunization Information System
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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 your healthcare provider.
02
Fill in your personal information such as name, date of birth, and contact information.
03
Record the dates of all immunizations you have received, including the type of vaccine and the date it was administered.
04
Provide any supporting documentation if required, such as a copy of your vaccination record.
05
Sign and date the form to certify that the information provided is accurate.
06
Submit the completed form to the relevant institution or organization that requires proof of immunization status.

Who needs certificate of immunization status?

01
Students enrolling in school or university
02
Travelers visiting certain countries
03
Healthcare workers
04
Individuals participating in certain activities or events that require proof of vaccination
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The certificate of immunization status is a document that verifies an individual's vaccination records.
Certain individuals, such as students attending school or childcare facilities, are required to file a certificate of immunization status.
To fill out a certificate of immunization status, one must provide accurate information about their vaccination history and have it signed by a healthcare provider.
The purpose of the certificate of immunization status is to ensure that individuals are appropriately vaccinated to prevent the spread of communicable diseases.
The certificate of immunization status typically includes information about the individual's name, date of birth, vaccines received, and dates of vaccination.
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