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Pdf tennessee certificate of immunization form 2025

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The document outlines the immunization requirements for children attending child care facilities, pre-schools, and schools in Tennessee. It specifies the necessary vaccines, exemptions for medical or religious reasons, and guidelines for completing the Certificate of Immunization. The document emphasizes compliance with state laws effective from July 1, 2010, detailing required and recommended vaccines along with their administration schedules.

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Click ‘Get Form’ to open the Tennessee Certificate of Immunization in our editor.
Begin by entering the child's name and birthdate in the designated fields at the top of the form.
In Section 1a, check the box for religious exemption if applicable. Fill in the parent/guardian's name in Section 1b, along with any required health examination documentation.
Proceed to Section 2a where you will input dates for each required vaccine. Ensure accuracy as this section is crucial for school attendance.
Select an option in Section 3 regarding provider assessment. Make sure to complete Section 4 with the healthcare provider's printed name, address, and signature.

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

How do I get my immunization form signed?

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.

How to get GA form 3231?

Only county health departments and physicians licensed in Georgia can provide immunization certificates (Form 3231).

Does Georgia have a statewide immunization registry?

The Georgia Immunization Registry (GRITS) is designed to collect and maintain accurate, complete and current vaccination records to promote effective and cost-efficient disease prevention and control.

What is a certificate of immunization?

Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or your child received. This record may be required for certain jobs, travel abroad, or school registration.

Do all states have an immunization registry?

Every state in the U.S., and some large cities, have their own IIS. All states collect data on child vaccinations to put into the IIS (though the cut-off age varies by state) and most states now also record adult immunizations in their IIS.

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How to get a TN certificate of immunization?

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)

Pdf tennessee certificate of immunization form 2025

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Got questions?

How do I get my immunization form signed?

How to get GA form 3231?

Does Georgia have a statewide immunization registry?

What is a certificate of immunization?

Do all states have an immunization registry?

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