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Certificate of Immunization Status (CIS)Reviewed by:. Washington State Immunization Information System (IIS), ) . :/ ////// Tap (Diphtheria (), Tetanus(), Pertussis()) Trap (Tetanus
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How to fill out certificate of immunization status
How to fill out certificate of immunization status
01
Obtain the certificate of immunization status form from your healthcare provider or school.
02
Fill in your personal information such as name, date of birth, and contact information.
03
Document the dates and types of vaccines you have received.
04
Make sure to have a healthcare provider sign and stamp the form confirming your immunization status.
05
Submit the completed form to the appropriate organization or institution that requires it.
Who needs certificate of immunization status?
01
Students enrolling in school or college.
02
Travelers going to certain countries that require proof of immunization.
03
Individuals starting a new job in healthcare or childcare.
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What is certificate of immunization status?
The certificate of immunization status is a document that confirms whether an individual has received certain vaccinations or immunizations.
Who is required to file certificate of immunization status?
Certain individuals, such as students, healthcare workers, and travelers, may be required to file a certificate of immunization status depending on local regulations or requirements.
How to fill out certificate of immunization status?
To fill out a certificate of immunization status, individuals typically need to provide information about the vaccinations they have received, including the dates and types of vaccines.
What is the purpose of certificate of immunization status?
The purpose of the certificate of immunization status is to ensure that individuals have received the necessary vaccinations to prevent the spread of communicable diseases.
What information must be reported on certificate of immunization status?
The information reported on a certificate of immunization status typically includes the individual's name, date of birth, vaccination history, and any exemptions or waivers.
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