Get Immunization Record - Emma Willard School

Filling out the Immunization Record for Emma Willard School is an essential task that helps ensure students meet health requirements mandated by New York State law. This guide provides clear instructions to assist you in completing the form accurately and efficiently.

Follow the steps to complete your immunization record online.

1. Press the ‘Get Form’ button to access the Immunization Record and open it in your chosen editor.
2. Enter the student's birthdate in the designated field. Ensure that the date format aligns with the requirements of the form.
3. Provide the details of the required vaccinations. For each vaccine listed, select the corresponding boxes based on the doses received. This includes diphtheria, Tdap, polio, hepatitis B, HPV, MMR, chickenpox, and meningococcal vaccinations.
4. If applicable, complete the tuberculin skin test section. Indicate the date, type of test, and the result. Be sure to fill in the induration measurement if the test result is positive.
5. Ensure the healthcare provider's signature is included at the bottom of the form, along with the date the form was signed.
6. Review all information for accuracy and completeness. Once confirmed, save the changes made to the form.
7. Download or print a physical copy of the completed form if necessary. You may also choose to share the form directly as required.

Complete the Immunization Record online today to ensure compliance with vaccination requirements.