Get Immunization/heath Record For Health Services - Cccti

Filling out the Immunization/Health Record for Health Services - Cccti is an essential step for anyone entering health professions. This guide provides a clear and supportive framework to complete the form accurately and efficiently online.

Follow the steps to successfully complete your health record.

1. Press the ‘Get Form’ button to access the Immunization/Health Record and open it in your preferred application.
2. Have your health care provider or Health Department fill out the top section of the form. This includes vital information such as the provider's name, date of birth, and immunization details. Ensure they provide accurate dates for vaccinations and any positive titer results.
3. After the health care provider has completed their section, review the information for accuracy. It's important that all vaccination dates and titer test results are correctly recorded.
4. Students must fill out the bottom section of the form, which includes a statement about their ability to participate in health profession activities without restrictions. Make sure to print your name, sign, and include the date.
5. Once all sections are completed and verified, save any changes made to the form. You may have options to download, print, or share the finished document. Ensure you keep a copy for your records.

Complete your Immunization/Health Record online today to ensure a smooth entry into your health profession.