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California immunization record yellow card pdf

Yellow immunization card pdf 2025

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The document is an immunization record form from the California Department of Public Health, detailing patient information, vaccine history, and eligibility for the Vaccines for Children (VFC) program. It includes sections for recording various vaccines administered, their dates, manufacturers, and lot numbers, as well as known reactions to vaccines and allergies. The form also provides guidelines for documenting TB skin tests and emphasizes the importance of providing Vaccine Information Statements (VIS) to patients.

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Click ‘Get Form’ to open the yellow immunization card PDF in the editor.
Begin by entering the patient's name in the designated fields for Last Name, First Name, and Middle Initial.
Fill in the birthdate of the patient. Ensure accuracy as this is crucial for record-keeping.
Select the gender by checking either Male or Female.
Indicate any known reactions to vaccines or allergies in the provided section.
Complete the practice name and address fields to identify where vaccinations were administered.
For VFC eligibility, check one of the options that apply to your situation regarding health insurance coverage.
Record each vaccine given by filling out details such as date given, manufacturer and lot number, site of administration, and who administered it. Use abbreviations for sites as indicated.

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How do I get my yellow card?

How to apply Log on to the Yellow Card Nigeria portal. Click on the register and fill in your personal information. Click pay now and generate a Remita Retrieval Receipt (RRR) code for payment. Make your payment online and print the receipt or visit any designated bank with the RRR code generated to pay.

How to get a yellow vaccination book?

International Certificates of Vaccination or Prophylaxis (ICVP) are available for purchase in quantity from the Government Printing Office bookstore. Individual copies are not available. To order, please visit U.S. Government Bookstore or call toll-free (866) 512-1800.

What if you lose your yellow card?

If you have lost your International Certificate of Vaccination or Prophylaxis, contact the Yellow Fever Vaccination Centre where you received the vaccine. They will be able to provide you with a new certificate.

What is the yellow book in pharmacy?

For both international travelers and the health professionals who care for them, CDC Health Information for International Travel (more commonly known as the Yellow Book) is the definitive guide to staying healthy and safe anywhere in the world.

How do I order yellow immunization cards in California?

To order the California Immunization Card (Yellow), please call The Immunization Project at (213) 351-7800. Quantity: Billing materials are ordered through the State and will arrive within 6-8 weeks. (Please limit your order to a 2-3 month supply.)

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