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18034 CDC/SGH# or name:___Arizona Department of Health Services Bureau of Child Care LicensingEmergency, Information and Immunization Record Card Childs Name:Updated:Date Enrolled:Home Address (#,
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How to fill out child immunization record card
How to fill out child immunization record card
01
Obtain a blank child immunization record card from your healthcare provider or download it from a trusted health resource.
02
Write the child's full name at the top of the card.
03
Include the child's date of birth and any identification number if applicable.
04
List the vaccines administered, including the name of the vaccine, series number, and the date each dose was given.
05
Include the name and signature of the healthcare provider who administered the vaccine.
06
Keep the card in a safe place, and ensure it is updated every time your child receives a vaccine.
Who needs child immunization record card?
01
Parents or guardians of young children who need to keep track of their immunizations.
02
Healthcare providers who require an official record of the child's vaccinations.
03
Schools or childcare facilities that require proof of immunizations for enrollment.
04
Travelers who may need vaccination records for international travel or specific destinations.
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What is child immunization record card?
A child immunization record card is a document that tracks the vaccinations a child has received, including dates of administration and types of vaccines.
Who is required to file child immunization record card?
Parents or guardians of children, healthcare providers, and schools may be required to file or maintain child immunization record cards depending on local laws and regulations.
How to fill out child immunization record card?
To fill out a child immunization record card, record the child's name, date of birth, and details of each vaccination received, including the vaccine type, date administered, and the administering healthcare provider's information.
What is the purpose of child immunization record card?
The purpose of the child immunization record card is to provide a complete history of vaccinations, ensuring that children are protected against preventable diseases and assisting healthcare providers in managing immunizations.
What information must be reported on child immunization record card?
The information that must be reported includes the child's personal details, vaccination dates, types of vaccines administered, lot numbers, and the name of the healthcare provider.
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