Get Pertinent Vaccine Information Statements (viss) To The Child's Parent&nbsp - Odh Ohio

This guide provides clear and straightforward instructions on how to complete the Pertinent Vaccine Information Statements (VISs) for parents and guardians. Ensuring accurate completion of this document is vital for the health and safety of children receiving vaccinations.

Follow the steps to accurately fill out the vaccine information statements.

1. Press the ‘Get Form’ button to access the document and open it in the appropriate editor.
2. In the section for patient details, enter the child's name, birthdate, and chart number to identify the individual receiving the vaccine.
3. Input the clinic name and address where the vaccination is administered. This information is critical for record-keeping and follow-up.
4. Record the type of vaccine given. Use the generic abbreviation or the trade name for each vaccine as indicated in the accompanying reference table.
5. Indicate the date the vaccine was administered, following the format month/day/year.
6. Document the funding source of the vaccine. Use 'F' for federal, 'S' for state, or 'P' for private funding.
7. Specify the route by which the vaccine was administered (e.g., intramuscular or subcutaneous) and the site (e.g., right arm or left thigh).
8. Record relevant details for the Vaccine Information Statement (VIS) being provided, including the lot number, manufacturer, and date on the VIS.
9. Include the vaccinator's signature or initials and title to verify that the information was completed correctly by a qualified individual.
10. Upon completion, review the form for accuracy. Save changes, download, print, or share the form as needed.

Start completing documents online today to ensure accurate vaccine records.