Get the free UTAH SCHOOL IMMUNIZATION RECORD - Murray School District

UTAH SCHOOL IMMUNIZATION RECORD This record is part of the students permanent school record (cumulative folder) as defined in Section 53A11304 of the Utah Statutory Code and shall transfer with the

How to fill out utah school immunization record

How to fill out Utah school immunization record:

1. Obtain the form: The Utah school immunization record form can usually be obtained from the child's school or the school district office. It may also be available for download from the Utah Department of Health website.
2. Gather necessary information: Before filling out the form, gather all the necessary information such as the child's personal details, immunization history, and healthcare provider's information.
3. Complete personal details: Fill in the child's full name, date of birth, gender, and any other required personal information on the form.
4. Provide immunization history: List all the vaccines the child has received in the appropriate sections of the form. Include the vaccine name, date of administration, and the administering healthcare provider's information.
5. Check off required vaccines: Review the list of required vaccines for school entry in Utah and make sure all the necessary vaccines have been received and documented correctly.
6. Obtain healthcare provider's signature: Have the form reviewed and signed by a healthcare provider to verify the accuracy of the immunization record.
7. Submit the form: Once the form is completed and signed, submit it to the child's school or as advised by the school district.

Who needs Utah school immunization record:

1. Students enrolling in Utah schools: All students enrolling in Utah schools, including public, private, and charter schools, are required to provide a completed school immunization record.
2. Parents or guardians: As the responsible party, parents or guardians of the student are required to ensure that the school immunization record is properly filled out and submitted to the school.
3. School administrators: School administrators play a role in ensuring compliance with immunization requirements and may need to verify and retain the school immunization records for enrolled students.

For pdfFiller’s FAQs

What is utah school immunization record?

The Utah school immunization record is a document that provides information about the immunization status of students attending schools in Utah.

Who is required to file utah school immunization record?

Parents or guardians of school-aged children are required to file the Utah school immunization record.

How to fill out utah school immunization record?

The Utah school immunization record can be filled out by providing information about the student's immunization history, including the dates and types of vaccines received.

What is the purpose of utah school immunization record?

The purpose of the Utah school immunization record is to ensure that students are up-to-date on required vaccinations to prevent the spread of vaccine-preventable diseases.

What information must be reported on utah school immunization record?

The Utah school immunization record must include information about the student's name, birth date, immunization history, and any exemptions to vaccination.

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