Ga 3231 Form - Web georgia law allows for two types of exemptions from the immunization requirements: All dates must include month, day and year. 07/2014 georgia department of public health certificate of immunization form 3231 (fill in x) child's name (last name first) birthdate date of expiration (fill in x) (optional) parent/guardian name (last name first) fulfills requirements k through 6th grade and must have tdap and mcv4 documented vaccine date date date date date date Each child must have one of two items on file—either a valid georgia immunization certificate (form 3231) or a signed, notarized statement, which is called an afidavit of religious exemption. A licensed georgia physician, advanced practice registered nurse, physician assistant, qualified employee of a local board of health or the state immunization office is responsible for the content of this certificate. Your local health department or physician can complete the form for you. You must submit proof of required vaccines with an immunization certificate (form 3231). Web vaccine requirements for attending facilities and schools in georgia (policy guide 3231req) certificate of immunization form 3231 (sample) summary of georgia immunization requirements for child care and school attendance. Immunization guidance for school nurses and public health nurses.
All dates must include month, day and year. 07/2014 georgia department of public health certificate of immunization form 3231 (fill in x) child's name (last name first) birthdate date of expiration (fill in x) (optional) parent/guardian name (last name first) fulfills requirements k through 6th grade and must have tdap and mcv4 documented vaccine date date date date date date Each child must have one of two items on file—either a valid georgia immunization certificate (form 3231) or a signed, notarized statement, which is called an afidavit of religious exemption. You must submit proof of required vaccines with an immunization certificate (form 3231). Your local health department or physician can complete the form for you. Web vaccine requirements for attending facilities and schools in georgia (policy guide 3231req) certificate of immunization form 3231 (sample) summary of georgia immunization requirements for child care and school attendance. Immunization guidance for school nurses and public health nurses. A licensed georgia physician, advanced practice registered nurse, physician assistant, qualified employee of a local board of health or the state immunization office is responsible for the content of this certificate. Web georgia law allows for two types of exemptions from the immunization requirements: