CA: Health Immunization Card

Description: This is a prebuilt report based off of the CA Immunization Health Card.

Purpose: To display a single student's CA Immunization Record.

Navigation: Reports > List Reports > Prebuilts > Health

Focus

Focus

Who is the intended audience?

Teachers and administrators

What data is reported?

Student's TB skin test results, Student's Name, Student's Sex, Student's Race/Ethnicity, Student's Parent or Guardian(s), Parent or Guardian(s) contact number, birth date, place of birth, address, whether or not the student has exemptions, whether or not the student's records are all up to date, specific dates for each vaccine dose given.

How is the data reported?

Chart listing all vaccines required by CA and the dates of when each dose was given for the student is displayed. Also listed is the student's personal information at the top of the first page and any requirements/exemptions in the box to the right on the first page.

The report defaults to display the students’ reported name and reported gender. If this information is not available, it will then display their in-system preferred name and gender.

This is in compliance with CALPADS that requires legal name and gender to populate on legal documents but allows preferred name and gender to be displayed in system rosters.

Second page consists of information regarding Immunizations in CA.

For more info please see: http://eziz.org/assets/docs/shotsforschool/IMM-365.pdf