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Universal Certificate of Immunizations (Louisiana)

This generates a State of Louisiana University Certificate of Immunizations form for a specific patient. You must first search for and select a patient.

The certificate includes all vaccinations, doses, administration dates, patient/child's name, SIIS ID, parent or guardian, date of birth, etc. Tdap is separated from the DTaP/Td family.

To generate this certificate, click the Reports > State Reports > Patient Specific > State of Louisiana Universal Certificate of Immunizations link. (School Nurse users can also access this report after selecting a patient and clicking Reports > School Reports > School Nurse Reports > State of Louisiana Universal Certificate of Immunizations.) The State of Louisiana University Certificate of Immunizations opens in a new browser tab. Note any warnings on the page, such as This patient/child is past due and must receive vaccination(s) Printing this certificate with an Expiration Date prior to today's date may constitute fraud. To print a valid certificate, use the browser's print function.