List Of Flu Vaccine Administration Record Template. What can you do to protect from the flu? Update demographic information and complete at each vaccine administration.
⧠ continue with vaccine administration ⧠ vaccination not given (see. Flu vaccine administration record if you are receiving your flu vaccine from an outside provider, please ask them to document all required information listed below. Immunization information system (iis) or “registry”:
Flu vaccine administration record if you are receiving your flu vaccine from an outside provider, please ask them to document all required information listed below. ⧠ continue with vaccine administration ⧠ vaccination not given (see. We want to make certain that you have information about the vaccines or antibody product we administered so you can update your patient’s medical record.
Record the date of vaccination and the name/location of the administering clinic. See page 2 to record influenza, hib, zoster, and other vaccines (e.g., travel vaccines). Flu offline vaccination record form1.
Immunization information system (iis) or “registry”: Health care providers who administer vaccines covered by the national vaccine injury compensation program (vicp) are required under the national childhood vaccine. Report your influenza immunization using the got my flu shot form on insite (ahs, apl, and recovery alberta) or compassionnet (covenant health).
Update demographic information and complete at each vaccine administration. Information and screening question responses. Please contact us if you have.
(pdf 1.52 mb) (english and spanish) (updated october 2018) vaccine ordering, storage and handling. This vaccine is appropriate for this patient based on the responses to the screening questions and age guidelines according to acip. Enter vaccine lot #, expiration date and site of administration, then scan the.
