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Wa State Immunization Form 2015

Wa State Certificate of Immunization 2015-2025 Form

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What is the Wa State Immunization Form

The Washington State certificate of immunization form, commonly referred to as the DOH 348-106, is a crucial document that records an individual's immunization history. This form is essential for various purposes, including school enrollment, daycare admission, and certain healthcare requirements. It provides a comprehensive overview of vaccinations received, ensuring compliance with state health regulations. The form is designed to be user-friendly, allowing parents and guardians to easily document their child's immunization status.

How to Use the Wa State Immunization Form

Using the Washington State immunization form involves several straightforward steps. First, ensure that you have all necessary vaccination records on hand. This includes dates of immunizations and the specific vaccines administered. Next, fill out the form accurately, providing personal details such as the individual's name, date of birth, and contact information. Once completed, the form can be submitted to schools, healthcare providers, or other institutions that require proof of immunization. It is advisable to keep a copy for personal records.

Steps to Complete the Wa State Immunization Form

Completing the Washington State certificate of immunization form involves a series of clear steps:

  • Gather all vaccination records, including dates and types of vaccines received.
  • Access the form, which can be obtained online or through healthcare providers.
  • Fill in personal information, including the individual's full name and date of birth.
  • Document each vaccination received, ensuring accuracy in dates and vaccine names.
  • Review the completed form for any errors before submission.
  • Submit the form to the appropriate institution, keeping a copy for your records.

Legal Use of the Wa State Immunization Form

The Washington State certificate of immunization form is legally recognized and is essential for compliance with state immunization laws. Schools and childcare facilities require this documentation to ensure that children are vaccinated according to state health regulations. Failure to provide a valid form may result in denial of enrollment or attendance. It is important to understand the legal implications of this form and to ensure that it is filled out accurately to avoid any potential issues.

Key Elements of the Wa State Immunization Form

The Washington State immunization form contains several key elements that are crucial for its validity:

  • Personal Information: Includes the individual's name, date of birth, and contact details.
  • Vaccination History: A detailed record of all vaccinations received, including dates and types of vaccines.
  • Signature: The form must be signed by a parent or guardian, verifying the accuracy of the information provided.
  • Provider Information: Details of the healthcare provider who administered the vaccinations, including contact information.

State-Specific Rules for the Wa State Immunization Form

Washington State has specific rules governing the use of the immunization form. These rules dictate which vaccinations are required for school and daycare entry. The form must be completed in accordance with state health guidelines, and any exemptions must be documented appropriately. Understanding these state-specific regulations is essential for ensuring compliance and avoiding potential penalties related to immunization requirements.

Quick guide on how to complete wa state vaccine exemption form

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Versions
Form popularity
Fillable & printable
WA DOH 348-013 2021
4.8 Satisfied (2218 Votes)
WA DOH 348-013 2019
4.7 Satisfied (249 Votes)
WA DOH 348-013 2015
4.8 Satisfied (1323 Votes)
WA DOH 348-013 2011
4.8 Satisfied (122 Votes)
WA DOH 348-013 2006
4.8 Satisfied (160 Votes)

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