Form AIR111-2 Adult Immunization Administration Record - Arizona

Form AIR111-2, the Adult Immunization Administration Record - Arizona, is a document used in the state of Arizona, United States. This form is intended to record the immunization details of adults. It includes the patient's personal details, the type of vaccine administered, the date of administration, and the details of the administering person or organization. This helps in keeping a detailed record of vaccination history throughout the patient's adulthood for future references, potential necessary booster shots, or for any other health-related concerns.

The Form AIR111-2 Adult Immunization Administration Record - Arizona is typically filed by healthcare providers or medical practitioners in Arizona who administer immunizations to adult patients. This document is used to record details such as the patient's personal information, health history, vaccine administered, dosage, and potential adverse reactions. The information then becomes a part of the patient's medical record.

FAQ

Q: What is Form AIR111-2?A: Form AIR111-2 is an Adult Immunization Administration Record that keeps track of immunizations administered to adults. This form is typically used by healthcare providers in Arizona, USA.

Q: Who should use the Adult Immunization Administration Record?A: Healthcare providers administering immunizations to adults should use this form. It helps in documenting the immunization records of adult patients and tracking their vaccine schedule in Arizona, USA.

Q: Why is the Adult Immunization Administration Record important?A: The Adult Immunization Administration Record is important as it helps healthcare professionals keep a patient's immunization history up-to-date, avoid repetitive immunizations, and ensure the patient receives necessary vaccines on time. In public health, it also aids in tracking immunization coverage and identifying areas for improvement.

Q: What information is included in Form AIR111-2?A: Form AIR111-2, Adult Immunization Administration Record, typically includes the patient's personal information, past immunization history, details of the current vaccines administered including the date, vaccine name, dose, route, site, lot number, and the name of the healthcare provider.