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Get Ks Certificate Of Immunization (kci) - Form B 2015
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How to fill out the KS Certificate of Immunization (KCI) - Form B online
Filling out the Kansas Certificate of Immunization (KCI) - Form B online is a straightforward process. This guide will provide you with detailed steps to complete the form accurately and efficiently.
Follow the steps to successfully complete the KS Certificate of Immunization (KCI) - Form B.
- Use the ‘Get Form’ button to obtain the KS Certificate of Immunization (KCI) - Form B and access it in the designated editing space.
- Begin filling out the form by entering the student’s name in the appropriate field, followed by their birthdate. Ensure that the information is accurate and clearly written.
- Provide the street address, city, state, and zip code of the student. This information is crucial for identification and record-keeping.
- Enter the name of the parent or guardian in the designated section, along with their telephone number. This allows for contact if further information is needed.
- Specify the reason for the medical exemption in the provided space. Be clear and concise to ensure that the reason is understood.
- Indicate the specific vaccine(s) for which the exemption is being requested by checking the appropriate box(es). This can include options such as DTaP/DT, Hepatitis A, and others as listed.
- A licensed medical professional must complete the certification section at the bottom of the form. The professional should sign and date the form, including their full name, address, telephone number, medical license number, and state of licensure.
- Review all entries for accuracy and completeness to avoid delays in processing the exemption.
- Once you have filled out the form, you have the option to save changes, download, print, or share the completed form according to your needs.
Complete your KS Certificate of Immunization (KCI) - Form B online today for a seamless documentation experience.
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To obtain your immunization records in Kansas, you should contact your healthcare provider or the clinic where you received your vaccinations. You may need to request the KS Certificate of Immunization (KCI) - Form B to summarize your immunization history. It is also a good idea to check if your records are available electronically for easier access.
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