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Immunization Record (Ohio)

This report creates an ImpactSIIS Immunization Record for a specific patient. Search for the patient first.

To create this ImpactSIIS Immunization Record, search for the patient and then click the Reports > State Reports > Patient Specific > OH Immunization Record link. The ImpactSIIS Immunization Record form displays for that patient in a new browser tab.  To print the form, use the browser's print function.

Example Ohio ImpactSIIS Immunization Record for a fictional patient