Home
Forms Library
Vaccine Information StatementCurrent VISs

Vaccine Information StatementCurrent VISs 2026

Vaccine Information StatementCurrent VISs Preview on Page 1

See details

4.2 out of 5

23 votes

The document SFN 18385 (09-2022) is a Vaccine Administration Record used to collect and document patient information for vaccine receipt authorization. It includes sections for personal details, eligibility status, vaccine types, and signatures from both the patient or authorized person and the vaccine administrator. The form also outlines compliance with North Dakota immunization laws and provides necessary information about vaccines.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Vaccine Information StatementCurrent VISs with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Vaccine Information StatementCurrent VISs in the editor.
Begin by entering the patient's name, including last, first, and middle names. Ensure accuracy for proper documentation.
Indicate the patient's race and whether they are Hispanic or Latino by circling or checking the appropriate boxes.
Fill in the date of birth, age, gender, address, and contact information. This information is crucial for identification and follow-up.
If the patient is under 18, provide the mother's name and maiden name for verification purposes.
Review the consent section carefully. Ensure that all questions have been answered satisfactorily before signing.
Document vaccine details such as type, manufacturer, lot number, and administration site. This ensures accurate record-keeping.

Start using our platform today to easily fill out your Vaccine Information StatementCurrent VISs online for free!

See more Vaccine Information StatementCurrent VISs versions

We've got more versions of the Vaccine Information StatementCurrent VISs form. Select the right Vaccine Information StatementCurrent VISs version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2022	4.2 Satisfied (23 Votes)
2019	4.1 Satisfied (47 Votes)
2011	4 Satisfied (23 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is vaccination information?

Vaccines are a way of artificially activating the immune system to protect against infectious disease. The activation occurs through priming the immune system with an immunogen. Stimulating immune responses with an infectious agent is known as immunization. Vaccination includes various ways of administering immunogens.

What is the CDC gov information statement for the flu vaccine?

CDC recommends everyone 6 months and older get vaccinated every flu season. Children 6 months through 8 years of age may need 2 doses during a single flu season. Everyone else needs only 1 dose each flu season. It takes about 2 weeks for protection to develop after vaccination.

Which vaccines are required for a US visa?

Required Vaccinations for U.S. Immigration Mumps, Measles, and Rubella (MMR) Polio. Tetanus and Diphtheria Toxoids. Pertussis. Haemophilus influenzae type B. Hepatitis B. Seasonal flu vaccine (only if your appointment is during the yearly flu season of October 1 to March 31)

What is a vaccine information statement?

Vaccine Information Statements are information sheets produced by CDC that explain both the benefits and risks of a vaccine to vaccine recipients. In the case of recipients under 18, they are provided to a parent or legal guardian. Federal law requires that VISs be handed out before each dose of certain vaccinations.

Which information is included in the Vaccine Information Statement Quizlet?

The vaccine and date administered, site of administration, vaccine manufacturer and lot number, VIS publication date with the date given to the patient/parent or guardian, and the identification of the person administering the vaccine.