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What you should know about Certificate of Immunization Form

  1. The form includes key vaccines like Diphtheria, Measles, Polio, and more.
  2. Printing information on the form from the Washington Immunization system is recommended.
  3. Lab reports for disease immunity must be signed and attached to the form.

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How to prepare Certificate of Immunization Form

1
Click Get Form
Open the Washington State Immunization Form in a user-friendly editor and complete it easily. The template is editable; therefore, it may be altered to your certain requirements.
2
Fill in the form
Click on a fillable field and write in the details necessary. Achieve that for each field inside the papers and include a digital signature if necessary ultimately.
3
Click on DONE
Save edits by clicking on the DONE option and share the template by electronic mail. There is also the
4
Send through USPS
characteristic, so you can send a paper copy as well.

About Washington State Immunization Form

The Washington State Immunization Form is a document that provides a comprehensive record of all the vaccines received by an individual. It is a requirement for anyone who wants to enroll in any daycare, pre-school, K-12 schools, and even colleges in the state. It is also needed for healthcare workers, immigrants, and people who want to participate in sports and other extracurricular activities. The form includes different sections for various vaccines, such as influenza, measles, mumps, rubella, polio, tetanus, and several others. The document must be signed, dated, and stamped by a licensed healthcare provider and presented to the relevant authorities before admission or enrollment.

How to complete a Certificate of Immunization Form

  1. Print the form with the information already filled in if your healthcare provider puts vaccination history into the WA Immunization Information System
  2. Review all the information, sign and date the form, then return it to the school or child care facility
  3. Make sure all information is correct and verifiable before submitting the form
  4. Required information includes parent/guardian signature and vaccine dose details
  5. Information on diseases and vaccines received should be accurately recorded with corresponding dates
  6. If your child has immunity through a blood test, have your healthcare provider complete the relevant section
  7. If filling out the form by hand, follow the provided instructions for accurate completion
  8. For more details, refer to the form keywords for a clear understanding

People also ask about Certificate of Immunization Form

What is the purpose of the Certificate of Immunization Form?
The form serves to provide documentation of disease immunity through titer results and lab reports.
Who needs to sign the Certificate of Immunization Form?
Parent or guardian signature is required for completion.
Are all vaccines listed on the form mandatory?
While some vaccines are required for child care/preschool, others are recommended but not mandatory.

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The length of time to maintain information?

The preservation time period can vary substantially throughout the states and regulations. Some papers needs to be stored for about 7 years. It is tougher to keep papers copies, you need to set up a security deposit box as a safe location. The IRS permits taxpayers to transform documents to electronic format. For that reason, a lot of consumers opt for cloud storage to save data. It is much more convenient, but you need to have a dependable option for the objectives. Look at protection conformity as well as other users' comments, and only then upload your Washington State Immunization Form .

Video instructions and help with filling out and completing Certificate of Immunization Form

Instructions and Help about Certificate of Immunization Form

- [Katherine] Hello everybody. We're going to give people about another minute or so to get on board and then we'll begin. Hello everyone. My name is Katherine Graff and I'm the current School and Child Care Nurse Consultant with the Washington State Department of Health. And I'd like to welcome you to this webinar. Thanks for joining us for this important session. We hope you'll find this information useful and that you'll learn about the many resources available to you. Before we start the presentation, I'd like to cover a few housekeeping items. If you're having any technical difficulties, please call the number on your screen, 1-888-259-8414 and press one. We will be keeping everyone on mute throughout the webinar to minimize distraction, so please type any questions you have in the question box, found in your Go To Webinar control panel. We hope to have time to respond to a few questions at the end. This webinar will be recorded, and a link will be posted on our website. A copy of the presentation slides, which includes links to resources, is available for download in your Go To Webinar control panel. I will be talking about the school immunization requirements and then, Jeff Zahir will be sharing important information about immunization reporting. Trang Coots, another Department of Health Nurse Consultant will be joining us when we answer questions at the end. Before I hand it over to Jeff to talk about reporting, here are the topics I will cover during this webinar. I will briefly review immunization law and then mainly focus on school immunization requirements, discussing some of the more common rules and exceptions to the rules that you may encounter. I'll review the Certificate of Immunization Status, or CIS form. And finally how the COE, or Certificate of Exemption should be completed for medical versus personal or religious exemptions. Before we begin, I'd like to ask a poll question to...