Immunization form definition

Immunization form means a printed form made available by the Commonwealth Health Center, department of health or the department of education to record a child’s immunizations and health record.
View Source

Examples of Immunization form in a sentence

  • The Immunization form has a link for you to upload your completed Pre- Entrance health form and any vaccine history records as supporting documentation for verification of the dates you list.

  • The Certificate of Immunization (form 3231) certifies that the student has met the following standards: ● Four doses of DTP or DTzP, DT, TD or a combination of these, with the last after the fourth birthday.

  • Complete and submit prior to start of the school year, the Emergency Information Card and the Health Immunization form, and to keep immunizations up to date.

  • Within 30 calendar days of enrollment , obtain from the parent eachchi:ld’s x Student Health Examination form DH 3040 x Florida Certification of Immunization form Part A -1, B, or C DH 680 x or, the Religious Exemption from Immunization form DH 681.

  • Within 30 calendar days of enrollment, obtain from the parent each child’s: • Student Health Examination form DH 3040 • Florida Certification of Immunization form Part A-1, B, or C DH 680 • or, the Religious Exemption from Immunization form DH 681.