
Get the free CIM623010 COAST GUARD SMALLPOX VACCINE PROGRAM (SVP). CIM623010 COAST GUARD SMALLPOX...
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Commandant
United States Coast Guard2100 Second Street, S.W.
Washington, DC 205930001
Staff Symbol: CG11
Phone: (202) 4755173
Fax: (202) 4755909COMDTINST M6230.10
MAR 03 2008COMMANDANT INSTRUCTION
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01
To fill out CIM623010 Coast Guard smallpox form, follow these steps:
02
Begin by including the name and contact information of the person completing the form.
03
Fill in the date and indicate whether it is the original form or a revision.
04
Provide the name, grade, and unit information of the individual receiving the smallpox vaccination.
05
Indicate the date and type of vaccination given.
06
Enter the immunization lot number and expiration date.
07
Include the manufacturer's name and lot number.
08
Note any adverse reactions or side effects experienced by the individual.
09
Sign and date the form, certifying its accuracy.
10
Submit the completed form to the appropriate authorities.
Who needs cim623010 coast guard smallpox?
01
CIM623010 Coast Guard smallpox form is required for individuals within the Coast Guard who have received the smallpox vaccination. This form helps track immunization records and monitor any adverse reactions or side effects that may occur.
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What is cim623010 coast guard smallpox?
CIM623010 is a form related to the Coast Guard's immunization program that specifically addresses the administration and documentation of the smallpox vaccine for personnel.
Who is required to file cim623010 coast guard smallpox?
All Coast Guard personnel who receive the smallpox vaccination are required to file the CIM623010 form.
How to fill out cim623010 coast guard smallpox?
To fill out the CIM623010 form, personnel should provide their personal information, vaccination details, and any adverse reactions following the immunization as specified in the instructions provided with the form.
What is the purpose of cim623010 coast guard smallpox?
The purpose of CIM623010 is to ensure proper documentation of smallpox vaccinations for operational readiness and to track immunization records within the Coast Guard.
What information must be reported on cim623010 coast guard smallpox?
The CIM623010 form requires reporting personal identification details, vaccination date, vaccination provider information, and any observed side effects post-vaccination.
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