Required immunization form New doc 2010TAA doc - mdanderson 2025

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The document outlines the health and immunization requirements for employees, specifically focusing on varicella and tuberculosis testing. It includes sections for personal information, required immunizations, and documentation of test results, along with a signature from a healthcare provider to confirm compliance.
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Ask your doctor, pharmacist or other vaccine provider for an immunization record form or download and use this form [4 pages]. Bring this record with you to health visits, and ask your vaccine provider to sign and date the form for each vaccine you receive.
Patients and guardians of minors can now use the CIIS Public Portal to view and print an official record of their immunizations.
Should students or student health offices complete the form? Students should complete the AAMC Standardized Immunization Form in conjunction with either the student health office at their medical school or with their primary care provider.
By law, the following information must be documented on the patients paper or electronic medical record (or on a permanent office log): The vaccine manufacturer. The lot number of the vaccine. The date the vaccine is administered.
To begin a TN immunization record request, please call the TDH at (615) 741-7247 and provide the following information about the person whose record is needed: Individuals full name (first, middle, and last name)

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To begin a TN immunization record request, please call the TDH at (615) 741-7247 and provide the following information about the person whose record is needed: Individuals full name (first, middle, and last name) Individuals maiden name and/or all previous last names. Individuals date of birth.

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