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State Form 52642 Vaccine Administration Record for Children and Teens - Indiana
What Is State Form 52642?
This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 52642?A: Form 52642 is the Vaccine Administration Record for Children and Teens used in Indiana.
Q: Who uses Form 52642?A: Form 52642 is used by healthcare providers in Indiana to keep a record of vaccines administered to children and teens.
Q: Why is Form 52642 important?A: Form 52642 helps healthcare providers keep an accurate record of vaccines given to children and teens, ensuring they receive the appropriate immunizations.
Q: Is Form 52642 mandatory?A: While it is not mandatory for individuals to fill out Form 52642, it is recommended to keep an accurate record of vaccines received for future reference.
Form Details:
- Released on April 1, 2006;
- The latest edition provided by the Indiana State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of State Form 52642 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Indiana State Department of Health.
Download State Form 52642 Vaccine Administration Record for Children and Teens - Indiana
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