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Program Tool
Program Tool

Immunization Record Audit

³Ô¹ÏÍø Management Healthy Environments Lesson 4 Apply Immunization Record Audit
Program Tool
WWW.VIRTUALLABSCHOOL.ORG
ACTIVITY ID: 17276
Name
Certifier
Date

Randomly select 20% of your immunization records and complete the chart below.

Child’s NameImmunizations CurrentAction Needed
 
Yes
No
 
 
Yes
No
 
 
Yes
No
 
 
Yes
No
 
 
Yes
No
 
 
Yes
No
 
 
Yes
No
 
 
Yes
No
 
 
Yes
No