Healthcare Provider's Certification of in Process Required School Immunizations - Connecticut

Healthcare Provider's Certification of in Process Required School Immunizations - Connecticut

Healthcare Provider's Certification of in Process Required School Immunizations is a legal document that was released by the Connecticut State Department of Public Health - a government authority operating within Connecticut.

FAQ

Q: What is the purpose of the Healthcare Provider's Certification of in Process Required School Immunizations?A: The purpose is to certify that a student has received the required immunizations or is in the process of receiving them.

Q: Who needs to fill out the Healthcare Provider's Certification of in Process Required School Immunizations?A: A healthcare provider, such as a doctor or nurse, needs to fill out the form.

Q: What information should be included in the certification?A: The certification should include the student's name, date of birth, the required immunizations, and the dates they were administered or are scheduled to be administered.

Q: What happens if a student does not have the required immunizations or is not in the process of receiving them?A: The student may be excluded from attending school until the required immunizations are obtained.

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Form Details:

  • Released on March 14, 2023;
  • The latest edition currently provided by the Connecticut State Department of Public Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Public Health.

Download Healthcare Provider's Certification of in Process Required School Immunizations - Connecticut

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