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Form IMM-15 Immunization Audit Report - New Jersey
What Is Form IMM-15?
This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. Check the official instructions before completing and submitting the form.
FAQ
Q: What is form IMM-15?
A: Form IMM-15 is the Immunization Audit Report used in the state of New Jersey.
Q: Who is required to complete form IMM-15?
A: Healthcare providers and facilities that administer immunizations in New Jersey are required to complete form IMM-15.
Q: Why is form IMM-15 used?
A: Form IMM-15 is used to report immunization data to the New Jersey Department of Health for quality assurance and monitoring purposes.
Q: What information is needed to complete form IMM-15?
A: Form IMM-15 requires information such as patient demographics, vaccine details, and healthcare provider information.
Q: When should form IMM-15 be submitted?
A: Form IMM-15 should be submitted according to the reporting schedule set by the New Jersey Department of Health.
Q: Are there any penalties for not completing form IMM-15?
A: Failure to complete form IMM-15 may result in penalties or non-compliance with immunization reporting requirements in New Jersey.
Form Details:
- Released on September 1, 2017;
- The latest edition provided by the New Jersey Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form IMM-15 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.
Download Form IMM-15 Immunization Audit Report - New Jersey
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