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TENNESSEE DEPARTMENT OF HEALTH TENNESSEE SCHOOL IMMUNIZATION CERTIFICATE This form and any attachments must be filed in the child s health record. I. IDENTIFYING INFORMATION Child s Name Birth Date First Middle Last Parent/Guardian s Name Phone No* Address Street City State Zip II. REQUIRED IMMUNIZATIONS Children entering school K-12 must have the following immunizations or an appropriately documented exemption VACCINE COMMENT DTP/DTaP/DT/Td 4 or 5 A 5th dose is not required if the 4th dose is given after the 4th birthday. Only 3 doses are needed if DT or Td must be used and the first dose is given after 12 months of age. Polio 3 or 4 If the 3rd dose is given after age 4 the 4th dose is not required* If the child has received both OPV and IPV a total of 4 doses are needed regardless of age. Hepatitis B 2 or 3 Required for Kindergarten entry 3 doses and 7th grade. For adolescents a 2dose vaccine preparation is available. MMR Required on or after the 1st birthday first dose may be given ....

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Children with medical or religious exemption to requirements The medical reason for the exemption does not need to be provided. Religious – This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices.

An Official TN Immunization Certificate must be submitted to childcare centers, preschools, or schools to satisfy attendance requirements for childcare through 12th grade. This certificate is available at your local TN Health Department and at any medical office with TennIIS access.

$20.00 for medical records 5 pages or less in length. $0.50 per page for each page copied after the first 5 pages. Actual cost of mailing.

The privacy of one's medical records is protected by both federal and state law, which generally consider this information confidential. Under Tennessee law, hospital records are considered property of the hospital and only accessible by court order or a written request by the patient.

The HIPAA Privacy rule: Restricts disclosure of individually identifiable health care information to the minimum necessary amount needed for the intended purpose; and. Establishes safeguards and restrictions on access to records for certain public responsibilities.

ImmTrac2, the Texas Immunization Registry Only doctors, schools, child-care centers, public healthcare providers, and other authorized healthcare organizations may directly access ImmTrac. Immunization records are NOT available to view online by the general public, including parents or legal guardians.

Unless prohibited by law, a... Hospitals must retain patient care records for 10 years following the patient's discharge or death. For patients who are minors or have a...

Call the Tennessee Health Professional Board at 615-532-3202.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232