Form SFN16038 Certificate of Immunization - North Dakota

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Form SFN16038 Certificate of Immunization - North Dakota

What Is Form SFN16038?

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

FAQ

Q: What is Form SFN16038?
A: Form SFN16038 is the Certificate of Immunization used in North Dakota.

Q: Why is Form SFN16038 important?
A: Form SFN16038 is important because it provides proof of immunization for individuals in North Dakota.

Q: Who needs to fill out Form SFN16038?
A: Form SFN16038 should be completed by healthcare providers or other authorized individuals who have administered vaccines to a person in North Dakota.

Q: What information is required on Form SFN16038?
A: Form SFN16038 requires information such as the person's name, date of birth, vaccine details, and provider information.

Q: Is there a fee for Form SFN16038?
A: There is no fee for Form SFN16038 as it is provided by healthcare providers and the North Dakota Department of Health.

Q: How long is Form SFN16038 valid for?
A: Form SFN16038 does not have an expiration date. It serves as a permanent record of immunization.

Q: Can I request a replacement Form SFN16038?
A: Yes, if you have lost or misplaced your Form SFN16038, you can request a replacement from your healthcare provider or the North Dakota Department of Health.

Q: What should I do if there is incorrect information on my Form SFN16038?
A: If there is incorrect information on your Form SFN16038, you should contact your healthcare provider or the North Dakota Department of Health to have it corrected.

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Form Details:

  • Released on September 1, 2022;
  • The latest edition provided by the North Dakota Department of Health and Human Services;
  • 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 printable version of Form SFN16038 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.

Download Form SFN16038 Certificate of Immunization - North Dakota

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