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International student immunization record - Indian Springs School - indiansprings 2026

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The document is an International Student Immunization Record for Indian Springs School, outlining required and recommended vaccinations for enrollment. It includes sections for student information, vaccination history, and a tuberculosis skin test requirement. The form must be completed by a physician and submitted by July 1.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the student's name, grade, and birth date in the designated fields at the top of the form.
Fill in the parents' names as required. This information is crucial for contact purposes.
Proceed to the 'Required Vaccinations' section. For each vaccine listed, enter the dose number and date received. Ensure you specify which vaccine was administered.
Complete the 'Recommended Vaccinations' section similarly, providing details for each recommended vaccine.
Document the Annual Tuberculosis Skin Test results, including dates given and read, along with any necessary follow-up information if applicable.
Finally, ensure that all required signatures are provided at the bottom of the form, including those from a physician and a parent or guardian.

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