Get Record Number Of Students By Grade Level In The Appropriate Category: Commonwealth Of Pennsylvania

This guide provides a comprehensive overview of how to effectively fill out the RECORD NUMBER OF STUDENTS BY GRADE LEVEL IN THE APPROPRIATE CATEGORY for the Commonwealth of Pennsylvania. By following these instructions, users can ensure accurate reporting of student immunization data.

Follow the steps to accurately complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Review the form fields carefully. Ensure that you have the necessary information about the students in kindergarten and 7th grade, as only these groups are required on this report.
3. In Column A, input the total number of students enrolled in each grade level. Be sure to count each student accurately.
4. In Column B, record the number of students who have medical exemptions from immunizations, if applicable.
5. In Column C, document the number of students who have religious exemptions from immunizations.
6. In Column D, indicate the number of students who are provisionally enrolled due to incomplete immunizations.
7. In Column E, enter the total number of students who have been denied admission or attendance due to non-compliance with immunization requirements.
8. Complete the fields for the report prepared by section, including your name, job title, telephone number, and the date of completion.
9. Ensure that your entries are correct, as errors could affect reporting. Review your data before submission.
10. Submit the completed form online or by mail to the Pennsylvania Department of Health, Division of Immunizations, as instructed.

Start filling out your document online today to ensure compliance and accurate reporting.