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Get Imm 1052
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How to fill out the Imm 1052 online
The Imm 1052 form is essential for maintaining accurate records of adult vaccines and assisting with vaccine ordering. This guide will help you navigate the form step-by-step to ensure you provide all required information correctly.
Follow the steps to successfully complete the Imm 1052 form online.
- Press the ‘Get Form’ button to obtain the form and open it in your editing tool.
- Fill in the date at the top of the Imm 1052 form, ensuring it reflects the current date.
- In the refrigerator section, enter all vaccine brand names as listed, specifying the doses per box. Be sure to record the lot numbers and expiration dates corresponding to each product.
- Document the total doses on hand for each vaccine type, including Hepatitis B, IPV, MCV, Td, and Tdap, under the LOT NUMBERS and DOSES ON HAND columns.
- For the freezer section, similarly list the vaccines along with their details, ensuring accuracy in the counts and expirations.
- Once you have completed all necessary fields, review the information for accuracy and completeness.
- Finally, save your changes, and you can choose to download, print, or share the completed form as needed.
Complete your Imm 1052 form online today to maintain proper vaccine records.
Live, attenuated injectable vaccines (e.g., MMR, varicella, yellow fever) and certain non-live vaccines (e.g., meningococcal polysaccharide) are recommended by the manufacturers to be administered by subcutaneous injection.
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