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How to use or fill out Washington State Immunization Record with our platform
- Click ‘Get Form’ to open the Washington State Immunization Record in the editor.
- Begin by entering your child’s last name, first name, middle initial, birthdate, and sex in the designated fields at the top of the form.
- In the vaccine section, list each vaccine your child has received. For each vaccine type, fill in the corresponding dose number and date (month, day, year) when it was administered.
- If your child had chickenpox disease instead of receiving the vaccine, select one of the verification options provided and ensure any necessary documentation is attached.
- Complete the 'Documentation of Disease Immunity' section if applicable. Have a licensed healthcare provider sign and date this section if your child has laboratory evidence of immunity.
- Finally, ensure that you sign and date the form before submitting it to your child's school or childcare facility.
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