Get Immunization Form - Clover

Completing the Immunization Form - Clover online is a vital step for ensuring compliance with vaccination requirements for children in Washington State. This guide will walk you through each section of the form, providing clear and supportive instructions to help you fill it out accurately.

Follow the steps to complete the Immunization Form - Clover online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the child's name and date of birth in the designated fields at the top of the form. Ensure that this information is accurate to avoid any issues with processing.
3. In the immunization history section, provide the dates of all vaccinations received. Refer to the accompanying vaccine schedule for guidance on which vaccines are required at different ages.
4. If applicable, indicate any exemptions. There are options for medical, personal, or religious exemptions. Clearly mark one of these options and provide any required supporting information, such as a physician's certification for medical exemptions.
5. If your child has documented immunity, you will need to provide laboratory evidence. Make sure to attach TITER results and print the physician's name followed by their signature in the respective fields.
6. After completing all the necessary sections of the form, review your entries for accuracy and completeness to ensure everything is filled out as required.
7. Once you have verified the information, you can save your changes, download the completed form, print it out, or share it as needed.

Complete your Immunization Form - Clover online today to ensure your child meets vaccination requirements.