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Name: Fillable Online Certificate of Immunization - Finger Lakes Community College Fax Email Print - pdfFiller
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This document is a Certificate of Immunization required for students at Finger Lakes Community College, detailing the mandatory immunization requirements as per New York State law, including information

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How to fill out certificate of immunization

01

Obtain a blank certificate of immunization form from your healthcare provider or school.

02

Gather all necessary immunization records, including dates and types of vaccinations received.

03

Fill in the personal information section, including the name, date of birth, and contact information of the individual receiving the immunizations.

04

List all immunizations administered by entering the vaccine names, dates of administration, and the healthcare provider's signature.

05

Ensure all information is accurate and legible before submitting the form.

06

Sign and date the certificate if required.

Who needs certificate of immunization?

01

Children entering school for the first time.

02

Individuals requiring vaccinations for travel.

03

Participants in childcare programs.

04

Students enrolling in higher education institutions.

05

Individuals working in healthcare or daycare settings.

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What is certificate of immunization?

A certificate of immunization is an official document that records an individual's immunization history, indicating the vaccines that have been administered.

Who is required to file certificate of immunization?

Typically, parents or guardians of children entering school or daycare are required to file a certificate of immunization for their children, as are adults in certain healthcare or employment situations.

How to fill out certificate of immunization?

To fill out a certificate of immunization, individuals generally need to provide personal details such as name, date of birth, and the dates and types of vaccines received, often signed by a healthcare provider.

What is the purpose of certificate of immunization?

The purpose of a certificate of immunization is to verify that an individual has received the necessary vaccinations to protect against specific infectious diseases.

What information must be reported on certificate of immunization?

Information that must be reported includes the individual's name, date of birth, the vaccines administered, the dates of administration, and the signature or stamp of a healthcare provider.

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