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SCHOOL IMMUNIZATION RECORD Student name: ___ Phone number: ___Sex: M ___ F ___ Date of birth: ___Address: ___City: ___Name of parent/guardian: ___ Please complete the Immunizations below OR upload
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How to fill out school immunization record

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How to fill out school immunization record

01
Gather the necessary information about the child's immunization history, such as vaccination dates and types of vaccines received.
02
Obtain a copy of the school immunization record form from the child's school or healthcare provider.
03
Read the instructions on the form carefully before filling it out.
04
Fill in the child's personal information, such as name, date of birth, and contact details.
05
Record each vaccine received by filling in the corresponding information on the form, including the vaccine name, manufacturer, lot number, and administration date.
06
Make sure to include all required vaccines mandated by the school or local health department.
07
If there are any exemptions or medical waivers, provide the necessary documentation as required.
08
Review the completed form for accuracy and double-check all information.
09
Sign and date the form, indicating that the provided information is true and accurate.
10
Submit the filled-out school immunization record to the child's school or healthcare provider as per their instructions.

Who needs school immunization record?

01
Any child who is attending school or childcare facilities usually needs a school immunization record.
02
It is a requirement for enrollment in most schools and is necessary for monitoring and ensuring the immunization status of students.
03
Additionally, it helps protect the overall health and safety of the school community by preventing the spread of vaccine-preventable diseases.
04
Parents or guardians should check with their child's school or local health department to determine specific requirements for the school immunization record.
05
Some exemptions or medical waivers may be allowed based on certain circumstances, but it is important to follow the guidelines and regulations set by the school or local health authorities.
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A school immunization record is an official document that details the vaccination history of a student, including dates and types of vaccines received, to ensure compliance with school health regulations.
Parents or guardians of students are typically required to file the school immunization record to ensure that their child meets the immunization requirements set by the school and public health authorities.
To fill out a school immunization record, obtain the form from the school or local health department, and provide accurate information regarding the student's vaccinations, including the dates each vaccine was administered and the healthcare provider's information.
The purpose of a school immunization record is to track and validate that students have received required vaccinations to protect public health, prevent outbreaks of vaccine-preventable diseases, and ensure school safety.
The school immunization record must include the student's name, date of birth, vaccination dates, specific vaccines administered, and the name and address of the healthcare provider who administered the vaccines.
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