Get Immunization Primary Review Summary - Public Health Division - Public Health Oregon

This guide provides step-by-step instructions on how to complete the Immunization Primary Review Summary for the Public Health Division in Oregon. Designed for a variety of educational programs, this form ensures accurate reporting of immunization data to help maintain public health standards.

Follow the steps to effectively complete the Immunization Primary Review Summary.

1. Press the ‘Get Form’ button to obtain the Immunization Primary Review Summary and open it in your preferred online form editor.
2. Begin with Section A - Initial Statistical Report. Fill in the demographic information accurately, including the name of your school or program, type of program (public, private, etc.), and contact details. Ensure that the administrator's name and email are correctly entered for future correspondence.
3. Indicate the grades or ages served by your program, along with the date of the report. Specify whether you utilize a computer system for tracking immunizations, marking 'Yes' or 'No', and include the name of the system if applicable.
4. Provide the total enrollment numbers for the children in your school or program. Follow the provided tips to adjust enrollment figures by excluding children who attend multiple programs.
5. Fill in the counts for students with various vaccination statuses: number complete or up-to-date, number with nonmedical exemptions, number with permanent and temporary medical exemptions, and number incomplete/insufficient along with the number with no record.
6. Once Section A is complete, ensure to cross-reference the data and verify its accuracy. If applicable, complete Section B on page 2 for children needing further documentation or exemptions, and photodocument their immunization records for submission.
7. After finalize the sections that apply, save your form changes, download it, or print copies. Be sure to send the white copies to your local county health department, retaining the yellow copies and blue copy of Section B for your records.

Begin filling out the Immunization Primary Review Summary online to contribute to the public health efforts in your community.