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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.
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.
