We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Immunization Education And Documentation - Lsu Health Shreveport - Sh Lsuhsc

Get Immunization Education And Documentation - Lsu Health Shreveport - Sh Lsuhsc

Ation education and documentation guidelines which comply with the National Childhood Vaccination Injury Act. Policy: 1. As required under the National Childhood Vaccine Injury Act (42 U.S.C. 300 aa26), all healthcare providers in the United States who administer any vaccine containing diphtheria, tetanus, pertussis, measles, mumps, rubella, polio, hepatitis A, hepatitis B, Haemophilus influenza type B (Hib), influenza, Human Papillomavirus (HPV), meningococcal, pneumococcal conjugate or Varicel.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Immunization Education And Documentation - LSU Health Shreveport - Sh Lsuhsc online

This guide provides a detailed walkthrough for users on how to fill out the Immunization Education And Documentation form for LSU Health Shreveport. Following these steps will ensure accurate completion and adherence to relevant immunization guidelines.

Follow the steps to successfully complete the form online.

  1. Press the ‘Get Form’ button to access the Immunization Education And Documentation form and open it for editing.
  2. Begin by entering the required personal information of the individual receiving the vaccine, including their name, date of birth, and medical record number.
  3. Provide the date of administration for the vaccine, and specify the vaccine type being administered.
  4. Document the vaccine information statement used by selecting from the available options and entering the date printed on that statement.
  5. Fill in the manufacturer's lot number and expiration date of the vaccine being administered.
  6. Include the name and title of the healthcare provider who is administering the vaccine.
  7. Indicate the permanent record's address where documentation will be maintained.
  8. Lastly, review all entered information for accuracy before saving changes, and ensure to download or print a copy of the form for records.

Complete your documentation online to ensure compliance with immunization guidelines.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Epidermal growth factor receptor-dependent...
Feb 1, 2025 — Despite many studies documenting the potential of E5 to contribute to...
Learn more
LSU Health Shreveport - Teach. Heal. Discover.
We are committed to preparing learners for careers in health care service, teaching, and...
Learn more
National Cancer Institute (NCI) PAPERS
by M Sanchez · Cited by 3 — In 2002, the HCSD, in partnership with the LSU Health...
Learn more

Related links form

Forms: Business & Personal Banking ApplicationFrost Patients Primary Care Clinic BCHD 282 Authorization To Access Authorization For Release Of Information And ... - UI Health Care

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

LSU Health Shreveport is home to the only medical school in north Louisiana and one of only three in the state. A medical school is a tertiary educational institution teaching medicine resulting in a professional degree for physicians.

The LSUS experience is unlike anywhere else. 88% of the LSUS Faculty have a terminal degree. #1. Fastest Growing Higher Ed Institution in LA. 94% of First-time Students Receive Financial Aid. 5-Star. NAIA Champions of Character Athletics Program.

As one of the oldest, most prestigious universities in the nation, LSU is in the elite 1 percent with land-, sea-, and space-grant designations, which illustrates our commitment to research and community outreach that addresses the world's most pressing issues.

Required Immunizations MMR (Measles, Mumps, Rubella) along with positive serology titer results. TDAP (Tetanus, Diphtheria, Acellular Pertussis) Varicella (Chickenpox) Hepatitis B along with results of Quantitative Hepatitis Surface Antibody titer for Allied Health & Medical students only. MCV (Meningococcal Vaccine)

Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or your child received. This record may be required for certain jobs, travel abroad, or school registration.

As one of only one hundred forty academic medical centers (AMC) in the nation, LSU Health Shreveport is a revered treasure in a community that fought decades for its creation. We are making an impact on medical education, research and the economy in our community and beyond.

On the portal home page, click on “Immunization/TB Upload” on the left menu bar. c. On the “Immunization/TB Upload” page, click on the “Add Immunization Record” button and navigate to your scanned completed document (e.g., Immunization records, TB Health Assessment Form, etc…).

Known for the quality of its academic and training programs, LSU Health New Orleans educates the majority of Louisiana's health care professionals. LSU Health New Orleans School of Medicine has onsite instructional sites in Baton Rouge and Lafayette, LA.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Immunization Education And Documentation - LSU Health Shreveport - Sh Lsuhsc
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232