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Get Ks Certificate Of Immunization (kci) 2013
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How to fill out the KS Certificate of Immunization (KCI) online
The Kansas Certificate of Immunization (KCI) is an essential document for maintaining a student's immunization record. This guide provides step-by-step instructions for filling out the KCI online, ensuring that you accurately complete each section to comply with state health regulations.
Follow the steps to fill out the KS Certificate of Immunization online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Start by entering the student's name in the designated field. Ensure the name matches the records held by the school or health department.
- Provide the student's address, which should include the street, city, and zip code.
- Enter the name of the parent or guardian, along with their phone number for contact purposes.
- Input the student's birthdate in the format MM/DD/YYYY to verify their age for immunization requirements.
- Complete the immunization history for various vaccines by recording the month, day, and year that each dose was received. This includes DTaP, Hepatitis B, Varicella, MMR, Polio, and any others as required.
- If there are any additional doses, make sure to initial and sign the form where indicated.
- Fill out the fields regarding the student's ethnicity and race, while being mindful to select neutral options.
- Ensure you have the physician’s signature in the designated area, affirming the accuracy of the immunization record.
- Finally, review all entries for accuracy. Save changes to the form, and utilize available options to download, print, or share the completed document as necessary.
Start completing your Kansas Certificate of Immunization online today!
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To obtain your immunization records in New York State, you need to contact the healthcare provider who administered your vaccinations. They can provide you with the necessary documentation. If you require a KS Certificate of Immunization (KCI) for out-of-state education or employment, be sure to mention this when requesting your records.
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