Get Immunize P2022 2023-2025

The Immunize P2022 form is essential for documenting vaccine administration for children and teens. This guide provides clear, step-by-step instructions on how to complete the form accurately and effectively using the online format.

Follow the steps to fill out the Immunize P2022 form online.

1. Press the ‘Get Form’ button to obtain the Immunize P2022 form and open it in your online editor.
2. Begin by entering the patient’s name and birthdate at the top of the form. Ensure that all information is correct to avoid any processing issues.
3. Next, complete the vaccine administration details. For each vaccine given, record the date it was administered using the format (mo/day/yr), the funding source identified as F (federal), S (state), or P (private), and the site of administration designated as RA (right arm), LA (left arm), RT (right thigh), LT (left thigh), or NAS (intranasal).
4. For each vaccine, include the vaccine information statement (VIS) details, the vaccine lot number, and manufacturer. Remember to record the publication date of the VIS and the date it was given to the patient.
5. Indicate the vaccinator’s signature or initials and title to verify the administration of the vaccine. Ensure that you are filling in the details for each specific vaccine accurately, including any combination vaccines.
6. Finally, review all entries for accuracy. Once completed, you can save changes, download, print, or share the form as needed.

Complete your Immunize P2022 form online today to ensure accurate vaccine documentation.