Get Pdf Tennessee Certificate Of Immunization Form

Filling out the Pdf Tennessee Certificate Of Immunization Form is an essential step for ensuring compliance with vaccination requirements for school and childcare attendance. This guide will walk you through the process of completing the form online, providing clarity on each section and field.

Follow the steps to effectively complete the Certificate of Immunization Form.

1. Click ‘Get Form’ button to acquire the Pdf Tennessee Certificate Of Immunization Form and open it in your preferred editor.
2. Enter the child's details, including their name (last, first, middle) and date of birth (mm/dd/yy) at the designated fields in the upper portion of the form.
3. In Section 1a, select the checkbox for a religious exemption if applicable, based on the preferences of the parent or guardian.
4. If required, provide health examination documentation in Section 1b by filling in the examination date, including the physician's phone number, and confirm the examination by signing or stamping.
5. In Section 1c, check if a dental or vision screening is required, alongside the dates of these screenings.
6. Proceed to Section 2a to document required vaccines for school or childcare attendance. Fill in the dates for each valid vaccine dose or mark the appropriate exemptions as needed.
7. If applicable, complete Section 2b by listing recommended vaccines; this section is optional.
8. In Section 3, select one of the provider assessment options (A through E), ensuring not to leave this section blank, as the certificate will be invalid otherwise.
9. Complete Section 4 by providing the printed or stamped name, address, phone number of the qualified healthcare provider, along with their signature and date of issue.
10. Once all sections are filled out, save your changes, and proceed to download, print, or share the completed form as necessary.

Complete your documents online today for seamless management of immunization records.