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Get the free Texas Immunization Registry (ImmTrac2) Minor Consent Form

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MERIDEN HEALTH AND HUMAN SERVICES DEPARTMENT FORMULA RIO DE CONSENTIMIENTO DE IMMUNIZATION DE INFLUENZANombre (en muscular×InicialCHILDFecha de NacimientoDireccinCiudadSexoZIPestadoNmero CelularNmero
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The Texas Immunization Registry (ImmTrac2) is a secure and confidential registry that stores immunization information for Texas residents of all ages.
Healthcare providers, schools, and childcare facilities are required to report immunization information to the Texas Immunization Registry (ImmTrac2).
Providers can fill out and submit immunization information to the Texas Immunization Registry (ImmTrac2) electronically through their EHR system or by using the ImmTrac2 web portal.
The purpose of the Texas Immunization Registry (ImmTrac2) is to help healthcare providers and public health officials track immunization coverage, improve vaccination rates, and ensure timely vaccination.
Providers must report demographic information, vaccine type and dosage, vaccination dates, and provider information for each administered vaccine.
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