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How to use or fill out the Oregon Certificate of Immunization Status

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your child's first and last name, middle initial, and birthdate in the designated fields.
  3. Fill in the mailing address, city, state, and zip code to ensure accurate communication.
  4. List all required vaccines received by your child in chronological order. For each vaccine, provide the date of administration (mm/dd/yy) for up to five doses.
  5. If applicable, check the box indicating if your child has had chickenpox disease and provide the date.
  6. Complete the section for medical or non-medical exemptions if you are opting out of any vaccinations. Ensure all necessary documentation is attached.
  7. Finally, certify that the information provided is accurate by signing and dating the form at the bottom.

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The Centers for Disease Control and Prevention (CDC) recommends vaccines throughout your life to help protect against many infections. If you skip vaccines, you may be at risk for diseases including flu, measles, and HPV and hepatitis Bboth leading causes of cancer.
There are several types of vaccines: Live-attenuated vaccines use a weakened form of the germ. Inactivated vaccines use a killed version of the germ. Subunit, recombinant, polysaccharide, and conjugate vaccines use only specific pieces of the germ, such as its protein, sugar, or casing.
In medicine, the immune systems way of protecting the body against an infectious disease. The three types of immunity are innate, adaptive, and passive.
We become immune to (or protected from) a disease when our bodies create specific antibodies to fight that disease. Vaccines contain ingredients that help your body build this immunity. Vaccines need to be safe and effective. Certain ingredients help keep vaccines safe from contamination and toxins.
Tetanus, diphtheria and polio (Td/IPV or 3-in-1 teenage booster) The Td/IPV vaccine, also known as the 3-in-1 teenage booster , is given to boost protection against 3 separate diseases: tetanus, diphtheria and polio.
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