Get No Immunization / Skin Test Flow Sheet - Nc Division Of ... - Publichealth Nc

This guide provides straightforward instructions on completing the No Immunization / Skin Test Flow Sheet for the NC Division of Public Health. Aimed at users with varying levels of experience, this resource will help ensure the accurate submission of vital immunization data.

Follow the steps to fill out the flow sheet online.

1. Press the ‘Get Form’ button to access the No Immunization / Skin Test Flow Sheet, and open it in an online editor.
2. In the top left blank space, attach or manually enter the patient's last name, first name, middle initial, patient number, date of birth, race, ethnicity, gender, and county of residence.
3. Indicate the patient's allergies or any relevant comments that may affect future visits.
4. For immunizations, record each vaccine administered under the appropriate categories (e.g., DTaP, Hib, IPV/OPV, Hep A, MMR), including the date given, route of administration, site given, vaccine lot number, manufacturer, expiration date, contraindications if any, consent signature, and the initials of the vaccinator.
5. If applicable, document any skin tests administered, noting the type of test, the date and time given, the site of administration, manufacturer and lot number, consent signature, provider's signature, time and date results are read, skin test reading in mm, and the signature of the test reader.
6. Once all fields are completed, you can save changes to the form, download a copy, print it, or share it as needed.

Complete your forms online to streamline your immunization record-keeping.