Pdf California Immunization Card Printable – California school immunization record (csir/blue card/cdph 286) (pdf) print copies or contact your local health department to ask about ordering free printed copies. Cdph 286 (1/19) guidance for completing form cdph 286 review the pupil’s immunization record for admission to: You may be offline or with limited connectivity. Try it for free now!
Vaccine Immunization Record Fill Out And Sign Printable Pdf Template
Pdf California Immunization Card Printable
Welcome to the digital vaccine record (dvr) portal get a digital copy of your vaccine record. Many children have their immunization records in the california immunization. Complete a california school immunization record (csir/blue card/cdph 286) for each child.
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California department of public health immunization record and history patient name (last name, first name, middle initial) number birthdate male known. The digital record includes the scannable qr code and details that can be confirmed visually without. Page 1 0f 2 vaccine type of vaccine1 date vaccine given (mo/day/yr) funding source 3 (f,s,p)2 site vaccine vaccine information statement.
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Record the date (month/day/year) of each dose the pupil has received, even if. The digital vaccine record (dvr) is a centralized electronic vaccination record from the california immunization registry (cair), which all californians can access at their. They may be printed on a standard office printer, or you may use a commercial printer.
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Easy to use present the record wherever proof of vaccination is requested. Immunization record provided by a parent or guardian, prior school, or an immunization registry.
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