Get Cdc Attestation Form

Completing the Cdc Attestation Form online is essential for healthcare personnel to confirm their immunization status. This guide provides step-by-step instructions to ensure you accurately fill out the form, contributing to workplace health and safety.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to access the Cdc Attestation Form and open it in the editor.
2. Begin by entering your full name in the designated field at the top of the form. Ensure that your entry is clear and legible.
3. Next, input the date of your attestation in the appropriate section. This should reflect the date you are filling out the form.
4. Proceed to the immunization sections, starting with influenza. Check the box that accurately represents your vaccination status and provide any required documentation.
5. Continue to the Tdap vaccination section. Indicate whether you have received the Tdap vaccine by checking the relevant box and add supporting documents if necessary.
6. Fill out the varicella section next. Choose the appropriate response based on your history with chicken pox or vaccination and provide documentation as needed.
7. In the hepatitis B section, indicate your vaccination status, ensuring to check all boxes that apply and submit necessary documentation.
8. Complete the MMR section by marking your vaccination status accurately and submitting any required documents.
9. Lastly, review the tuberculosis screening information. Mark all applicable options and ensure any required documentation is included.
10. Once all sections are completed, double-check your entries for accuracy. You can then save your changes, download a copy, print the form, or share it as instructed.

Complete the Cdc Attestation Form online today and ensure your immunization records are up to date.