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20152016 SCHOOLED CHILDREN IMMUNIZATION CLINICS REFERRAL FORM NOTE: Eligibility for free immunizations is based on the child having one or more of the following: A) No health insurance; B) Medicaid;

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How to fill out 2015-2016 school-aged children immunization

01

Obtain the immunization form from your child's school or healthcare provider.

02

Fill out the child's personal information accurately on the form.

03

Record the dates of all previous immunizations that the child has received.

04

Check the required immunizations for school-aged children in 2015-2016 and ensure that your child has received them.

05

Provide any additional documentation required by the school or healthcare provider.

06

Submit the completed form to the appropriate authorities before the deadline.

Who needs 2015-2016 school-aged children immunization?

01

All school-aged children who are attending school in 2015-2016 need to have the required immunizations to protect against preventable diseases.

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What is school-aged children immunization clinic?

School-aged children immunization clinic is a clinic where children of school age receive vaccinations to protect them from various diseases.

Who is required to file school-aged children immunization clinic?

Parents or guardians of school-aged children are required to file the school-aged children immunization clinic forms.

How to fill out school-aged children immunization clinic?

To fill out the school-aged children immunization clinic, parents or guardians need to provide the child's vaccination records and any relevant medical information.

What is the purpose of school-aged children immunization clinic?

The purpose of school-aged children immunization clinic is to ensure that school-aged children are up-to-date on their vaccinations and protected from preventable diseases.

What information must be reported on school-aged children immunization clinic?

The information reported on school-aged children immunization clinic includes the child's name, date of birth, vaccinations received, and any medical exemptions.

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