WebForm I-693, Report of Immigration Medical Examination and Vaccination Record Form I-693 Edition 03/09/23 Page 1 of 14 Report of Immigration Medical Examination and Vaccination Record Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form I-693 OMB No. 1615-0033 Expires 03/31/2025 WebA Certificate of Immunization Status (CIS) form printed with the vaccination dates from the Washington State Immunization Information System (IIS), MyIR, or another state’s IIS. …
Report of Immigration Medical Examination and Vaccination …
WebA Certificate of Immunization Status (CIS) form printed with the vaccination dates from the Washington State Immunization Information System (IIS), MyIR, or another state’s IIS. A completed hardcopy CIS with a health care provider validation signature. WebMultiple Vaccines (DTaP, Hib, Hepatitis B, Polio, and PCV13) (10/15/21) This VIS may be used in place of the individual VISs for DTaP, Hib, Hepatitis B, Polio, and PCV13 when two or more of these vaccines are administered during the same visit. It may be used for infants through children receiving their routine 4-6 year vaccines. Routine ray lewis coaching job
Certificate of Immunization Status (CIS) - Vietnamese
WebCertificate of Immunization Status (CIS) IWeb User Guide Certificate of Immunization Status (Washington) This report creates a Washington State School Immunization Certificate that validates student/patient immunization records against Washington State School or Child Care immunization requirements. WebA Certificate of Immunization Status (CIS) printed from the Immunization Information System (IIS) A physical copy of the CIS form with a healthcare provider signature A physical copy of the CIS form with accompanying medical immunization records from a healthcare provider verified and signed by school staff A CIS printed from MyIR WebParents and guardians must provide a record of student’s immunizations by completing a 2024-2024 Certificate of Immunization Status (CIS) form available from the Washington State Department of Health in multiple languages. You can also log into the MyIR site to download the completed form. 2024-2024 CIS in Chinese (PDF) ray lewis farm new london ct