Immunization Record Template For Parents Printable Information Statements VISs to the child s parent or legal representative and make sure they understand the risks and benefits of the vaccine s Always provide or update the patient s personal record card
Print out a copy of your child s schedule and keep it up to date It is very important to keep accurate records of your child s shots When you enroll your child in day care or school you may need to show proof of immunizations Also your child may need the record later in life for college employment or travel Take the schedule with you Our records show that your child needs the following immunization s shots to meet the requirements of the California School Immunization Law Health and Safety Code Sections 120325 120375
Immunization Record Template For Parents Printable
Immunization Record Template For Parents Printable
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Immunization Record Card Printable Fill Online Printable Fillable
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Vaccination Record Template
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An immunization record should be given to a parent every time their child receives a vaccine including at birth Parents should receive a printout or other record of the vaccinations administered to their infant before the infant leaves the hospital OOcial immunization record cards can be obtained from many state health departments free of The records also are key tools in vaccination education programs aimed at increasing parental and patient awareness of the need for vaccines This record can exist in electronic file format or in hardcopy format A permanent vaccination record should be established for each newborn infant and maintained by the parent or guardian The parent or
Healthcare provider List the mo day yr for each vaccination given Record the generic abbreviation e g PCV7 DTaP IPV Hib not the trade name For com bination vaccines fill in a row for each separate antigen in the combination Item R2004 4 09 To learn more about vaccines visit www vaccineinformation and www immunize Tetanus Vaccination records sometimes called immunization records provide a history of all the vaccines you or your child received This record may be required for certain jobs travel abroad or school registration How to locate your vaccination records what to do if you can t find your records tools to record your vaccinations
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Printable Immunization Record Template
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A printable worksheet for tracking and recording a child s immunizations is provided here Parent Guardian or vaccine recipient Please read and initial AIR111 1 REV 12 23 Initials Statement 1 I have read or have had explained to me the information contained in the Vaccine Information Statements VISs about the following disease s and vaccine s Diphtheria Tetanus Pertussis Polio Measles
Complete the vaccine and dose section using information from the pupil s immunization record provided by a parent or guardian prior school or an immunization registry Use an immunization information system IIS to document vaccines administered update patient vaccination records and provide a complete immunization history
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Information Statements VISs to the child s parent or legal representative and make sure they understand the risks and benefits of the vaccine s Always provide or update the patient s personal record card
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Print out a copy of your child s schedule and keep it up to date It is very important to keep accurate records of your child s shots When you enroll your child in day care or school you may need to show proof of immunizations Also your child may need the record later in life for college employment or travel Take the schedule with you
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Immunization Record Template For Parents Printable - Review the pupil s immunization record for admission to Pre kindergarten child care or preschool Transitional kindergarten kindergarten through 12 th grade TK K 12
