Maryland Immunization Certification Form
‘Record of Immunization’ section of this form. This form may not be altered, changed, or modified i n any way. Notes: 1. When immunization records have been lost or destroyed, vaccination dates may be reconstructed for all vaccines …
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www.nj.govNJIIS consolidates immunization information from all healthcare providers into one official record. It also provides current recommended immunization schedules from birth through adulthood. An up-to-date vaccination record is a history of all the vaccines you have ever received. This record helps your provider to determine if any additional ...
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doh.wa.gov• A Certificate of Immunization Status (CIS) form printed with the vaccination dates from the Washington State Immunization Information System (IIS), MyIR, or another state’s IIS. • A completed hardcopy CIS with a health care provider validation signature.