Form F-02487 Wisconsin Immunization Registry (Wir) Record Release Authorization - Wisconsin

Form F-02487 Wisconsin Immunization Registry (Wir) Record Release Authorization - Wisconsin

What Is Form F-02487?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-02487?A: Form F-02487 is the Record Release Authorization form for the Wisconsin Immunization Registry (WIR).

Q: What is the Wisconsin Immunization Registry?A: The Wisconsin Immunization Registry (WIR) is a statewide electronic system that keeps track of immunization records for individuals in Wisconsin.

Q: What is the purpose of the Record Release Authorization form?A: The Record Release Authorization form is used to authorize the release of immunization records from the WIR to a specified individual or organization.

Q: Who needs to complete the Record Release Authorization form?A: Individuals who want their immunization records to be released from the WIR to a specific individual or organization need to complete the Record Release Authorization form.

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Form Details:

  • Released on May 1, 2019;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • Easy to use and ready to print;
  • Available in Hindi;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form F-02487 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-02487 Wisconsin Immunization Registry (Wir) Record Release Authorization - Wisconsin

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  • Form F-02487 Wisconsin Immunization Registry (Wir) Record Release Authorization - Wisconsin, Page 1
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