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Get AL Public Health Pediatric Immunization Record 2009-2024
History of Chickenpox? YES or NO If yes, date if known: Vaccine (circle correct vaccine) DT DTaP Age at VIS Form Given Manuf the time Type Mo Yr Abbr* Mo Day Yr Date Admin DTP Lot Number Provider Initials*** or Dose Admin Route VFC Outside Provider Name Site a 0.5cc LT RT LA RA IM LT RT LA RA LT RT LA RA IM IM DT DTaP DTP 0.5cc DT DTaP DTP 0.5cc DT DTaP DTaP-Hib DTP Hib DTP Polio 0.5cc LT RT LA RA 0.5cc LA RA IM Td Tdap 0.5cc LA RA.
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Rotavirus FAQ
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BlueCard Eligibility: 1-800-676-BLUE (2583) Blue Cross and Blue Shield of Alabama Provider Customer Service: 1-877-231-7239.
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The parent or legal guardian must submit a written objection and receive education on the consequences of not immunizing their child. By State School Immunization Law, a Religious Exemption can only be issued to kindergarten through 12th grade and not to institutions of higher learning.
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Immunization Requirement for School Entry Children entering Kindergarten need boosters of DTaP (Diphtheria, Tetanus, and Pertussis), Polio, MMR (Measles, Mumps, and Rubella), and Varicella. Children age 11 and entering the 6 th grade need a Tdap (Tetanus, diphtheria, and Pertussis) vaccination.
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The State of Alabama does not recognize philosophical, moral, or ethical exemption from vaccination. A medical exemption may be issued by a physician or an Alabama Certificate of Religious Exemption may be obtained from the local county health department.
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Alabama law requires all students to have a current Immunization Card (Blue Card) prior to registering for school. The original Blue Card is kept on file by the student's school and must be updated per state guidelines.
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(4) A written objection from the parent or guardian of a student or child based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.
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Immunization: A process by which a person becomes protected against a disease through vaccination. This term is often used interchangeably with vaccination or inoculation.
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Immunization Requirement for School Entry Children entering Kindergarten need boosters of DTaP (Diphtheria, Tetanus, and Pertussis), Polio, MMR (Measles, Mumps, and Rubella), and Varicella. Children age 11 and entering the 6 th grade need a Tdap (Tetanus, diphtheria, and Pertussis) vaccination.
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