Immunization record 2025

1. Click ‘Get Form’ to open the immunization record in the editor.
2. Begin by entering the patient's name and birthdate at the top of the form. This information is crucial for accurate record-keeping.
3. In the 'Vaccine' section, list each vaccine administered along with its type. Use either the generic abbreviation or trade name as specified.
4. Record the date each vaccine was given in the format (mo/day/yr). Ensure accuracy for future reference.
5. Indicate the funding source of each vaccine using F (federal), S (state), or P (private). This helps track financial responsibility.
6. Document the route and site of administration, such as IM for intramuscular or SC for subcutaneous, along with specific locations like RA (right arm) or LA (left arm).
7. Finally, ensure that a vaccinator's signature or initials and title are included to validate each entry.

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