Form AIR111-1 Childhood / Adolescent Immunization Administration Record - Arizona

Form AIR111-1 Childhood/Adolescent Immunization Administration Record - Arizona is a form used in the state of Arizona, USA, to record and track the immunization history of a child or adolescent. This is important for maintaining public health records and ensuring children and teens receive necessary routine vaccinations to prevent the spread of infectious diseases.

The Form AIR111-1 Childhood/Adolescent Immunization Administration Record - Arizona is typically filed by health professionals in Arizona. These may include pediatricians, family doctors, and school nurses who administer immunizations to children and adolescents. They use this form to document the details of the immunizations, including the type of vaccine, the date it was given, and any adverse reactions. This information is vital to tracking the child’s vaccination history and ensuring they are up-to-date with their shots. After filing, this form often becomes part of the child's health records.

FAQ

Q: What is Form AIR111-1?
A: Form AIR111-1 is the Childhood/Adolescent Immunization Administration Record used in Arizona to keep track children's and adolescents’s vaccination history.

Q: How important is the AIR111-1 form?
A: The AIR111-1 form is extremely important, as it aids in maintaining accurate immunization records for children and adolescents which can be used by healthcare providers and school administrations to ensure compulsory vaccinations are up-to-date.

Q: Who needs to fill out the AIR111-1 form?
A: This form is generally filled out by healthcare providers or authorized medical personnel performing the immunizations.

Q: What kind of information is recorded in the AIR111-1 Form?
A: Information recorded in the AIR111-1 form includes patient's name, date of birth, vaccine name, vaccine manufacturer, vaccination date, and other related details.

Q: Is it necessary to keep the AIR111-1 form updated?
A: Yes, it is necessary to keep the AIR111-1 form updated. It ensures that the child's immunization schedule is followed properly and can be valuable during school enrolment or in any medical emergencies.

Q: Can the immunization records from the AIR111-1 form be transferred to other states?
A: Yes, if a child moves to another state, their immunization record can generally be transferred. It’s always a good idea to keep personal copies of these records as well.