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Student Immunization Record, DPH 4020L Form

Student Immunization Record, DPH 4020L Form

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welcome to step two of the immunization reporting process in this step you will be assessing the immunization records for all the kids enrolled in your facility to do this you'll need your transparent overlays the primary review table and photocopies of your completed CIS forms since the overlays are age specific start by organizing your CIS forms by age let's assess a record together we'll start by determining elfs age remember we need to know his age as of the first reporting deadline next we'll place the appropriate overlay onto his CIS form we want to see dates in all those shaded boxes good news Alf is up to date now we can note this on his CIS form but what happens if there are shaded boxes without dates one possibility is that the child may have an exemption to a particular vaccine look on the back of the CIS form for these exemptions a non-medical exemption is valid when the back of the CIS form is signed and dated by the parent and the parent has given you a vaccine education

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