Immunization form definition

Immunization form means a printed form made available by the Commonwealth Health Center, department of health or the department of education to record a child’s immunizations and health record.
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Examples of Immunization form in a sentence

  • Immunizations received out-of-state are acceptable; however, immunizations must be documented on the Florida Certification of Immunization form and must be signed by a physician practicing in the State of Florida.

  • Immunizations received out-of-state are acceptable; however immunizations must be documented on the Florida Certification of Immunization form and must be signed by a physician practicing in the State of Florida.

  • Georgia law requires that all students must have on file at the school a current Georgia Certification of Immunization (form 3032).

  • However, the applicant will be subject to College initiated withdrawal from classes, without refund in the event of an outbreak of a disease for which immunization is required.Applicants who are taking only on-line courses may exempt the requirement by completing the Certificate of Immunization form and indicating taking only online courses.

  • Signed and dated Health Screening for Health Science Education (Proof of Immunization) form andDocumentation of test results/immunizations (refer to FAQ about form for details).

  • Immunizations must be recorded on the Certificate of Immunization form supplied by the Colorado Department of Public Health and Environment (CDPHE) or an approved alternate certificate approved by CDPHE.

  • Florida Certification of Immunization form or the Religious Exemption from Immunization form for each child in care.

  • The program is responsible for obtaining from the custodial parent or legal guardian for each child in care, a current, complete and properly executed Florida Certification of Immunization Form Part A-1, B, or C, DH 680 (July 2010), or the Religious Exemption from Immunization form, DH 681 (July 2008), which are incorporated by reference.

  • It is advised to submit the Immunization form to your primary health care provider as soon as possible in order to ensure its completion in advance of the College deadline.

  • Kansas law requires that a Certificate of Immunization form be completed for all students.

Related to Immunization form

  • Immunization means the act of inducing antibody formation, thus leading to immunity.

  • Bid Application Form means the form as specified in Annexure II of this E-Auction Process Information Document;

  • Authorization Form means a form specified in s. 440.73.

  • Participating Prescription Drug Provider means an independent retail Pharmacy, chain of retail Pharmacies, mail-order Pharmacy or specialty drug Pharmacy which has entered into an agreement to provide pharmaceutical services to participants in the benefit program. A retail Participating Pharmacy may or may not be a select Participating Pharmacy as that term is used in the Vaccinations Obtained Through Participating Pharmacies section.

  • Prescription drugs means drugs, medicine and controlled substances which by law can only be prescribed for human use by persons authorized by law.

  • Prescription drug means any drug required by federal law or regulation to be dispensed only

  • Application Form means any application form to be completed by subscribers for Shares as prescribed by the Company from time to time.

  • Beneficiary Designation Form means the form established from time to time by the Plan Administrator that the Executive completes, signs, and returns to the Plan Administrator to designate one or more Beneficiaries.

  • Enrollment means the number of students who are enrolled in a school operated by the district on October 1. A student shall be counted as one whether the student is enrolled as a full-time or part-time student. Students enrolled in prekindergarten programs shall not be counted.

  • Election Form means the form established from time to time by the Committee that a Participant completes, signs and returns to the Committee to make an election under the Plan.

  • Nonprescription drugs means nonnarcotic medicines or drugs which may be sold without a prescription and are prepackaged and labeled for use by the consumer in accordance with the requirements of the statutes and regulations of this state and the federal government;

  • Nonprescription drug or "over-the-counter drug" means any

  • Annual Information Form means a document filed by the funds with Canadian securities regulators which provides supplementary information about the funds.

  • Prescription drug order means a lawful order of a practitioner for a drug or device for a specific patient that is communicated to a pharmacist.

  • Disenrollment means either voluntary or involuntary termination of a participant from the Independent Choices Program.

  • Licensed assistant behavior analyst means a person who holds current certification as a Board Certified Assistant Behavior Analyst issued by the Behavior Analyst Certification Board, Inc., or any successor in interest to that organization, who is licensed as an assistant behavior analyst by the Aging and Disability Services Division of the Department of Health and Human Services and who provides behavioral therapy under the supervision of a licensed behavior analyst or psychologist.

  • Proof of vaccination means documentation provided by a tribal, federal, state or local government, or a health care provider, that includes an individual’s name, date of birth, type of COVID-19 vaccination given, date or dates given, depending on whether it is a one-dose or two-dose vaccine, and the name/location of the health care provider or site where the vaccine was administered. Documentation may include but is not limited to a COVID-19 vaccination record card or a copy or digital picture of the vaccination record card, or a print-out from the Oregon Health Authority’s immunization registry.

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Enrollment Agreement means an agreement between the Company and an employee, in such form as may be established by the Company from time to time, pursuant to which the employee elects to participate in this Plan, or elects changes with respect to such participation as permitted under the Plan.

  • Bid Declaration Form means a declaration by the Bidders in form as specified inAnnexure III of this E-Auction Process Information Document;

  • Program Plan means the tobacco settlement program plan dated February 14, 2001, including exhibits to the program plan, submitted by the authority to the legislative council and the executive council, to provide the state with a secure and stable source of funding for the purposes designated by section 12E.3A and other provisions of this chapter.

  • Deferral Election Form means the form established from time to time by the Plan Administrator that the Director completes, signs and returns to the Plan Administrator to designate the amount of the Deferrals.

  • EPSDT means early and periodic screening, diagnosis, and treatment.

  • HCFA means the United States Health Care Financing Administration and any successor thereto.

  • Open enrollment means a period of time as defined in rule