Immunization Record Request Application Form - New York City

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Immunization Record Request Application Form - New York City

Immunization Record Request Application Form is a legal document that was released by the New York City Department of Health and Mental Hygiene - a government authority operating within New York City.

FAQ

Q: What is the Immunization Record Request Application Form?A: The Immunization Record Request Application Form is a document used in New York City to request immunization records.

Q: Why would I need the Immunization Record Request Application Form?A: You would need the Immunization Record Request Application Form if you need to access your immunization records or the records of your child.

Q: Can I request immunization records for someone other than myself or my child?A: Yes, you can request immunization records for someone other than yourself or your child, but you must provide legal documentation to prove your relationship or authority.

Q: Is there a fee for requesting immunization records using the Immunization Record Request Application Form?A: No, there is no fee for requesting immunization records using the Immunization Record Request Application Form.

Q: How long does it take to process the Immunization Record Request Application Form?A: The processing time for the Immunization Record Request Application Form may vary, but it generally takes around 7-10 business days.

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Form Details:

  • Released on August 31, 2016;
  • The latest edition currently provided by the New York City Department of Health and Mental Hygiene;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York City Department of Health and Mental Hygiene.

Download Immunization Record Request Application Form - New York City

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