Immunization record definition
Examples of Immunization record in a sentence
The Immunization record must be attached for the form to be valid.
A Certification of Immunization record for each student must be presented to DOMINION ACADEMY at the time of admission.
Prior to the Admission Date to the Center, Parent agrees to provide Child’s Immunization record, acknowledging that Child shall be immunized against diseases as required by the California code of Regulations, Title 17.
Prior to the Admission Date to the Center, ▇▇▇▇▇▇ agrees to provide Child’s Immunization record, acknowledging that Child shall be immunized against diseases as required by the California code of Regulations, Title 17.
Students from out-of-state may obtain a special exemption and have thirty (30) days to obtain a valid SC Certificate of Immunization record from a healthcare provider or from the Health Department.
Acceptable or “documented” proof of immunization includes: Immunization record from any state, county or country stamped by a Doctor or Clinic Copy of an immunization record from a health agency or clinic Dr.’s record with a signature or clinic stamp This documentation must show the date and type of dose administered.
Acceptable or “documented” proof of immunization includes: • Immunization record from any state, county or country stamped by a Doctor or Clinic • Copy of an immunization record from a health agency or clinic • Dr.’s record with a signature or clinic stamp This documentation must show the date and type of dose administered.
Y / N Preferred method of Contact: Email Text Phone Comments: Shadowing Coordinators: ▇▇▇▇▇▇ ▇▇▇▇▇▇ & ▇▇▇▇▇ ▇▇▇▇ Last Revised: April 6, 2014 Example student immunization record with all required immunizations as listed in the shadowing checklist above: Immunization record obtained from Student Health in ▇▇▇▇▇▇.
Present one of the following: A certified copy of a birth certificate; or A federal, state, county, or school document with date of birth Current Immunization record from Health Provider (form available in enrollment forms) Notarized Conscientious Objector form (available in enrollment forms) Primary Household Information: Please include full legal names as they appear on a Driver’s License or other official ID.