Immunization Reporting Form for Nursing Homes - Arkansas

Immunization Reporting Form for Nursing Homes - Arkansas

Immunization Reporting Form for Nursing Homes is a legal document that was released by the Arkansas Department of Health - a government authority operating within Arkansas.

FAQ

Q: What is the immunization reporting form for nursing homes in Arkansas?
A: The immunization reporting form for nursing homes in Arkansas is a document used to report the immunization status of residents and staff.

Q: Who is required to fill out the immunization reporting form for nursing homes in Arkansas?
A: Nursing homes in Arkansas are required to fill out the immunization reporting form for both residents and staff.

Q: What information is required on the immunization reporting form for nursing homes in Arkansas?
A: The immunization reporting form for nursing homes in Arkansas requires information such as the name of the resident or staff member, their date of birth, the vaccines received, and the date of immunization.

Q: Is the immunization reporting form for nursing homes in Arkansas mandatory?
A: Yes, it is mandatory for nursing homes in Arkansas to fill out the immunization reporting form for both residents and staff.

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Form Details:

  • Released on July 1, 2021;
  • The latest edition currently provided by the Arkansas Department of 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 Arkansas Department of Health.

Download Immunization Reporting Form for Nursing Homes - Arkansas

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  • Immunization Reporting Form for Nursing Homes - Arkansas, Page 1
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