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Get Certificate Of Immunization Status (cis)

Certificate of Immunization Status (CIS) DOH 348013 January 2015Office Use Only:Reviewed by: Date: Signed Cert. of Exemption on file? Yes NoPlease print. See back for instructions on how to fill out.

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How to fill out the Certificate Of Immunization Status (CIS) online

The Certificate Of Immunization Status (CIS) is a crucial document for tracking immunizations for children. Filling out this form accurately ensures that schools and child care centers maintain up-to-date health records. This guide will provide you with clear, step-by-step instructions to complete the CIS online effectively.

Follow the steps to successfully complete the CIS online.

  1. Press the ‘Get Form’ button to access the CIS form and open it in the online editor.
  2. Begin by filling in the child's last name, first name, middle initial, birthdate (in mm/dd/yyyy format), and sex in the designated fields at the top of the form.
  3. Provide your permission for the child's school to share immunization information by marking the appropriate box.
  4. In this step, document each vaccine your child received. List the name of the vaccine in the 'Vaccine' column, and enter the doses received in the 'Dose' section along with the corresponding dates in the 'Month', 'Day', and 'Year' columns.
  5. If your child had chickenpox disease and did not receive the vaccine, choose the appropriate verification option in the chickenpox disease section and ensure any necessary documentation is ready.
  6. If applicable, complete the 'Documentation of Disease Immunity' section by having your healthcare provider fill it out, including their signature and any required lab reports.
  7. Finally, review all information for accuracy, then sign and date the form before submitting it to the relevant school or child care center.

Take action now and complete your Certificate Of Immunization Status online to ensure your child's health records are up-to-date.

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Related links form

DoL WH-226 2016 DoL WH-226A 2010 DOL WH-385-V 2015 DoL WH-4 2008

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The Immunization Certificate Course is designed to advance the skills, knowledge, and competencies of healthcare professionals who routinely administer immunizations in the workplace. Earn a certificate to demonstrate your training and skills in immunization.

Because childhood immunization records are considered protected health information ( PHI ) and the providers collecting and maintaining this data are covered entities both subject to the protections and requirements of the HIPAA privacy rule, providers have questioned whether they are legally permitted to disclose ...

Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or your child received. This record may be required for certain jobs, travel abroad, or school registration.

A titer test is a measure of antibodies in the blood, providing a check of disease immunity. The results of a titer test then allow a clinician to determine whether a vaccination is required. A titer test involves a simple blood draw. The sample is analyzed, and results are returned within 24 to 72 hours.

Schools or childcare providers. Contact previous daycare centers, schools, camps, or anywhere else your child previously attended. ... All previous healthcare providers. If your pediatrician is still in practice, try their office again to see if they can find them. ... Local immunization registry.

The CIS is a form that must be completed and turned into a child's school or child care to document the immunizations required to be in school or child care in Washington State.

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.

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.

Immunisation describes the process whereby people are protected against illness caused by infection with micro-organisms (formally called pathogens). The term vaccine refers to the material used for immunisation, while vaccination refers to the act of giving a vaccine to a person.

Immunization status or previous exposure to diseases is often assessed using serology. This testing can evaluate protection from diseases such as Bordetella pertussis, hepatitis A virus (HAV), hepatitis B virus (HBV), measles, mumps, rubella, varicella zoster virus, and polio.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
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 WorkFlow
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