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U.S. MERCHANT MARINE ACADEMY
OFFICE OF HEALTH SERVICES
PATTERN HALL
KINGS POINT, NY 110241699PREADMISSION IMMUNIZATION RECORD SUMMARY
PLEBE CANDIDATES FULL NAME:___SOCIAL SECURITY NUMBER:___DATE OF
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How to fill out pre-admission immunization record summary

How to fill out pre-admission immunization record summary
01
Gather all immunization records for the individual
02
Review the required immunizations for the specific institution or program
03
Fill out the summary form with the individual's personal information
04
Document each immunization dose with the date given and the type of vaccine
05
Include any relevant medical exemptions or waivers
06
Submit the completed form to the institution or program as instructed
Who needs pre-admission immunization record summary?
01
Individuals applying for admission to a school, college, university, or other educational program
02
Individuals seeking admission to a healthcare facility or program
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What is pre-admission immunization record summary?
The pre-admission immunization record summary is a document that compiles an individual's vaccination history in preparation for admission to an educational institution or healthcare facility.
Who is required to file pre-admission immunization record summary?
Individuals seeking admission to schools, colleges, or certain healthcare facilities are typically required to file a pre-admission immunization record summary.
How to fill out pre-admission immunization record summary?
To fill out a pre-admission immunization record summary, obtain the form from the institution, list all vaccinations received along with dates, and ensure to have the information verified by a healthcare provider if necessary.
What is the purpose of pre-admission immunization record summary?
The purpose of the pre-admission immunization record summary is to ensure that individuals meet required vaccination standards for health and safety before being admitted to educational or healthcare settings.
What information must be reported on pre-admission immunization record summary?
The report must include the individual's personal information, details of vaccinations received, dates of administration, and any other required medical history.
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