Free Vaccine Forms
Protect yourself and the people around you against numerous infectious diseases - find out when it is appropriate to get vaccinated, obtain proof of immunization, and keep track of possible side effects of the vaccine. Doctors that administer vaccines can improve the quality of health services their facility offers with a variety of Vaccine Forms - check the medical history of the patient, give them a chance to refuse the vaccine, and formally acknowledge their immunization status.
You may see a full list of Vaccine Form templates by checking out our library below.
Vaccine Form Types
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Prevaccination Checklist. There are certain factors that make vaccination unsafe - for instance, a patient may undergo treatment or develop an allergic reaction to the previous dose of the vaccine so ensure there are no contraindications for the immunization before going through with it;
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Vaccination Schedule. Learn when an adult or child is supposed to be vaccinated in line with recommendations for age groups - besides, if certain vaccines require more than one dose to be administered, you will know the optimal time to schedule an appointment with the doctor;
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A Vaccine Card Template is going to confirm the person identified in writing has already received a dose of a particular vaccine - this is essential for people whose employers require proof of immunization or travelers that plan to go abroad;
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Vaccine Consent Form. Prior to vaccination, every healthcare provider is obliged to list all the benefits and risks associated with the vaccine - you can save time during communication with the patient by asking them to read and sign this instrument before they get the shot;
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Vaccine Exemption Form. If you or your child is not vaccinated due to a certain health condition or spiritual beliefs, you may ask your doctor to prepare a statement that proves this fact; additionally, an exemption form can be valid for a limited time because of the contraindication certified by a medical professional;
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A Vaccine Record Form usually refers to immunization history of a child since kids are meant to be vaccinated and protected against infectious diseases - this tool is typically synchronized with the vaccine data system maintained by a health center;
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A Vaccine Refusal Form can be given to a patient that chose not to get a vaccine whether this decision is permanent or they are weighing their options - explain the consequences of the refusal and ask the individual to assume responsibility for their decision by signing the papers;
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Vaccine Registration Form. Generally filled out online, this instrument helps both medical facilities and patients to figure out the suitable time for a vaccination appointment - alternatively, it can be printed out for distribution at a local clinic in case the patient prefers to register in person;
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Vaccine Temperature Log. Unfortunately, many vaccines come with adverse effects - even the healthiest people can have a fever for a day or two after getting a much-needed shot; monitor your health in case you have developed worrying symptoms with the help of this document.
Still looking for a particular form? Take a look at the related forms below:
Documents:
159
This Form is used for routine immunization screening for pediatric patients.
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This type of document can be used by a patient that has decided not to take a vaccine offered by the current physician or healthcare provider they visit.
This document is an essential tracking tool used in Ontario, Canada for monitoring vaccine storage temperatures. It aids in ensuring that vaccines are stored at required temperatures, aiding in maintaining vaccine efficacy.
This document provides essential information about the vaccines recommended during pregnancy to safeguard both mother and child from various diseases. It includes details on the timing and safety of each vaccine.
This document provides crucial information about necessary immunizations for pregnant women in New South Wales, Australia, aimed at safeguarding the health of both the mother-to-be and the baby. It offers guidelines on the best period to get these shots during pregnancy.
This document provides detailed information about the recommended timeline for different vaccines in New South Wales, Australia, helping to guide individuals and healthcare professionals about when various immunizations should be administered.
This document provides detailed guidelines and recommendations on the suggested sequence and timeline for immunizations for residents of Alberta, Canada, to protect against various infectious diseases. It is highly beneficial for parents, healthcare providers, and individuals seeking vaccination information.
This document provides a detailed immunization schedule recommended for infants, children, and adults residing in Manitoba, Canada. It helps to keep track of necessary vaccinations and their timings for different age groups, ensuring overall health and protection against various diseases.
This document is a template for a COVID-19 vaccine card. It can be used as a record of vaccination for individuals who have received their COVID-19 vaccine.
This form is used for requesting a medical exemption from vaccination in the state of Indiana.
This document is a Vaccine Temperature Log Book published by the Queen's Printer for Ontario in Ontario, Canada. It is used for recording and monitoring the temperature of vaccines to ensure they are stored properly.
This document is proof that an animal has received a vaccination against rabies. It is often required for traveling with pets or enrolling them in certain facilities.
This document outlines the recommended schedule for vaccinating livestock and poultry to protect against diseases.
This document is a Temperature Log for Refrigerator and Freezer that records temperature readings in Celsius. It helps ensure that the appliances are maintaining the correct temperature for the safe storage of perishable food items.
This document is used for recording the temperature of a refrigerator and freezer in Fahrenheit. It helps ensure that food is stored at appropriate temperatures to maintain freshness and prevent spoilage.
This form is used for requesting an exemption from immunization requirements for school entry in New Brunswick, Canada. It follows Policy 706.
This document is used for recording the temperature of vaccine refrigerators in Alberta, Canada. It helps ensure that vaccines are stored at the correct temperature to maintain their effectiveness.
This document provides the recommended schedule for vaccinations, ensuring that individuals receive the necessary vaccines at appropriate ages to protect against various diseases.
This document provides a chart for tracking the vaccination schedule for kittens. Keep track of important vaccinations to keep your new pet healthy.
This document is a Puppy Vaccination Chart that helps keep track of the vaccines your puppy needs at different stages of their development.
This document is a vaccine administration record specifically for adults living in New South Wales, Australia. It is used to keep track of the vaccines administered to individuals and to ensure that they are up-to-date with their vaccinations.
This document provides the recommended schedule for childhood and adolescent immunizations in the state of New York. It outlines the specific vaccines that children and teenagers should receive at different ages to protect against various diseases.
This document is intended for individuals seeking exemption from the Covid-19 vaccination mandate based on religious beliefs. It outlines the process for filing such a request and the necessary information to provide.
This form is used by parents and schools in California to record and track a child's immunization history from pre-kindergarten through school-age. It's vital for ensuring compliance with state health and safety regulations.
This document provides the guidelines for administering higher doses of the Hepatitis B vaccine as per the health regulations of British Columbia, Canada. It includes a detailed schedule for vaccination and other relevant information.
This document provides guidelines on the Hepatitis B vaccination and serology schedule specifically designed for preterm infants in Minnesota weighing less than 2,000 grams. It covers important information on vaccine administration, dosage, and timings.
This document serves as a detailed track record of all the immunization doses a person has received throughout their lifetime, meant for personal health management and medical reference.
This form is used to obtain consent for receiving the influenza vaccine.
This form is used for obtaining consent for receiving the influenza vaccine and evaluating medical eligibility for vaccination.
This document is for the declination of getting the influenza vaccination. It provides an option to refuse or decline getting vaccinated against the flu.
This document provides guidelines for healthcare administrators on how to administer the varicella (chickenpox) vaccine to adult patients. It includes information on dosage, timing, and possible side effects.
This form is used for requesting a medical exemption from immunization in the state of Tennessee.
This document outlines the protocols for administering influenza vaccinations. It provides guidelines for healthcare providers to follow in order to ensure the efficient and effective distribution of flu shots.
This document provides a summary of influenza vaccination rates among healthcare personnel. It highlights the percentage of healthcare workers who have received the flu vaccine.
This form is used for giving consent for immunization. It ensures that the individual understands and agrees to receive the specified vaccines.
This document is used for keeping track of your pet's health and vaccination records. It helps you ensure your pet stays healthy and up to date on their vaccinations.
This document provides the CDC's recommended immunization schedule for adults aged 19 years or older. It outlines the vaccines that adults should receive to protect against vaccine-preventable diseases.
This document provides information about the schedule for receiving Covid-19 vaccinations.
This document outlines the recommended schedule for getting vaccines for children and adolescents as recommended by the Centers for Disease Control and Prevention (CDC). It helps parents and healthcare providers stay informed on the vaccinations that are needed to protect children from various diseases.
This form is used for parents to request an exemption from school immunization requirements based on medical, religious, or philosophical reasons.
