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IMMUNIZATION VERIFICATION FORM Student Name (Last, First, M.I.):Date of Birth:Student ID Number (Stinger ID):Minnesota Law (M.S. 135A.14) requires proof that all students born after 1956 are vaccinated

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How to fill out immunization record for students

01

Step 1: Gather all necessary information such as student's name, date of birth, and vaccination history.

02

Step 2: Obtain the official immunization form from the school or health department.

03

Step 3: Fill out the form accurately by providing dates of vaccinations, type of vaccines received, and healthcare provider information.

04

Step 4: Make sure the form is signed and dated by the healthcare provider.

05

Step 5: Submit the completed form to the school or health department as required.

Who needs immunization record for students?

01

All students, including new enrollees, returning students, and those transferring from another school, are required to provide an immunization record.

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What is immunization record for students?

An immunization record for students is a document that provides evidence of the vaccinations a student has received. It typically includes dates of immunizations and the types of vaccines administered.

Who is required to file immunization record for students?

Parents or guardians of students are generally required to file the immunization record, as they are responsible for ensuring their children meet the necessary vaccination requirements.

How to fill out immunization record for students?

To fill out an immunization record for students, parents should gather vaccination information from healthcare providers, complete the form by entering the dates and types of vaccinations, and then submit it to the appropriate school administration.

What is the purpose of immunization record for students?

The purpose of the immunization record is to ensure that students are protected against vaccine-preventable diseases and to comply with state and school requirements for enrollment and attendance.

What information must be reported on immunization record for students?

The immunization record must include the student's name, date of birth, vaccination dates, type of vaccines received, and the name of the healthcare provider who administered the vaccinations.

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