Search results with tag "Certificate of immunization"
STATE OF MAINE IMMUNIZATION REQUIREMENTS FOR …
www.maine.govSep 25, 2021 · A. Certificate of Immunization To demonstrate adequate immunization against each disease, a child must present the school with a certificate of immunization from a physician, nurse practitioner or physician assistant or public health official who has administered the immunizing agent(s) to the child. The certificate must
Iowa Department of Public Health Certificate of Immunization
iris.iowa.govPertussis Polio Haemophilus influenzae Meningococcal Pneumococcal Chicken Pox Vaccine Doctor / Clinic / Source Virus Papilloma Human Hib type b January 2013. IMMUNIZATION REQUIREMENTS Applicants enrolled or attempting to enroll shall have received the following vaccines in accordance with the doses and age requirements listed below. If, at any ...
1 Fax Number: (757) 594-7711 - Christopher Newport University
cnu.edu1 Yes S CERTIFICATE OF IMMUNIZATION Note: This completed form must be mailed, delivered, or faxed to the following:
Certificate of Immunization Exemption - Iowa Department …
idph.iowa.govA Certificate of Immunization Exemption for medical reasons is valid only when signed by an Iowa licensed physician, nurse practitioner, or physician assistant. By signing this certificate, I certify the immunizations specified on this certificate would be injurious to the health of the applicant, to a member of the
CERTIFICATE OF IMMUNIZATION - Middle Georgia State …
www.mga.edu(MGA – 04-Dec-15 - PG 2 of 2) IMMUNIZATION REQUIREMENTS According to the policies of the Board of Regents of the University System of Georgia, applicants who have not previously attended Middle Georgia State University must
Certificate of Immunization Status (CIS)
doh.wa.govTo print with the immunization information filled in: Ask if your health care provider’s office enters immunizations into the WA Immunization Information System (Washington’s statewide registry). If they do, ask them to print the CIS from the IIS and your child’s immunization information will fill in automatically.
Certificate of Immunization Status form
www.doh.wa.govOffice Use Only: Certificate of Immunization Status (CIS) For Kindergarten-12th Grade / Child Care Entry . Please print. See back for instructions on how to fill out this form or get it printed from the Washington Immunization Information System.
CERTIFICATE OF IMMUNIZATION - Grits
www.grits.state.ga.usRev. 07/2014 Georgia Department of Public Health CERTIFICATE OF IMMUNIZATION Form 3231 (Fill in X) Child's Name (Last name first) Birthdate Date of Expiration (Fill …
Certificate of Immunization Status (CIS)
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.
Certificate of Exemption - Woodinville Montessori School
www.woodinvillemontessori.orgOffice Use Only: Certificate of Immunization Status (CIS) For Kindergarten-12th Grade / Child Care Entry . Please print. See back for instructions on how to fill out this form or get it printed from the Washington Immunization Information System.
Certificate of Immunization Status (CIS)
www.doh.wa.govDepartment of Health to get a copy of your child’s CIS: waiisrecords@doh.wa.gov or 1-866-397-0337. To fill out the form by hand: 1. Print your child’s name and birthdate, and sign your name where indicated on page one. 2. Write the date of each vaccine dose received in the date columns (as MM/DD/YY).