
Get the free Mumps, Rubella, and Hepatitis BProgram No. 368 - sco ca
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Office of the State Controller
Statemented Costs Claiming Instructions No. 200915
Immunization Records Program No. 32
Revised October 1, 2023,
In accordance with Government Code (GC) sections 17560
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How to fill out mumps rubella and hepatitis

How to fill out mumps rubella and hepatitis
01
Ensure you have the necessary vaccines for mumps, rubella, and hepatitis.
02
Read the instructions on the vaccine packaging carefully.
03
Prepare the vaccine according to the instructions provided by a healthcare professional.
04
Administer the vaccine as directed by a healthcare professional.
05
Keep a record of the vaccination for future reference.
Who needs mumps rubella and hepatitis?
01
Individuals who have not been previously vaccinated against mumps, rubella, and hepatitis may need these vaccines.
02
Travelers to regions where these diseases are prevalent may also require vaccination.
03
Healthcare workers and individuals working in certain high-risk environments may need to be vaccinated against mumps, rubella, and hepatitis.
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What is mumps rubella and hepatitis?
Mumps rubella refers to a combination vaccine that protects against mumps and rubella, both viral diseases. Hepatitis generally refers to inflammation of the liver caused by viral infections, alcohol consumption, or other factors.
Who is required to file mumps rubella and hepatitis?
Individuals required to file include healthcare providers and institutions that administer the mumps rubella and hepatitis vaccines, as well as individuals responsible for patient vaccination records.
How to fill out mumps rubella and hepatitis?
To fill out the forms, individuals should provide patient details, vaccination dates, type of vaccine administered, and any relevant medical history. Follow specific instructions provided on the forms.
What is the purpose of mumps rubella and hepatitis?
The purpose is to ensure accurate tracking of vaccinations to improve public health, prevent outbreaks, and maintain herd immunity against these diseases.
What information must be reported on mumps rubella and hepatitis?
Information must include patient name, date of birth, vaccination dates, type of vaccine, and any adverse reactions observed after vaccination.
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