Immunization record history 2025

1. Click ‘Get Form’ to open the immunization record history in the editor.
2. Begin by entering the patient's name, including last name, first name, and middle initial in the designated fields.
3. Fill in the birthdate of the patient accurately to ensure proper record keeping.
4. Indicate the patient's gender by selecting either 'Male' or 'Female'.
5. Document any known reactions to vaccines or allergies in the provided section.
6. Select the appropriate VFC eligibility status by checking one of the options available.
7. For each vaccine administered, enter the dose number, date given, trade name/manufacturer, site of administration, and who administered it. Ensure all details are filled out for accurate tracking.

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