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Child Care Immunization History For All Day Child Care Child Information (Please check) I have uploaded a current copy of my children immunization record to www.simcoemuskokahealth.org/immsonline
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How to fill out request an immunization record

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How to fill out request an immunization record

01
Contact your healthcare provider or the clinic where you received the immunizations.
02
Ask for the necessary form to request an immunization record.
03
Fill out the form with your personal information, including name, date of birth, and contact information.
04
Specify which immunizations you are requesting records for and the dates they were administered.
05
Submit the completed form either in person, by mail, or through an online portal as instructed by the healthcare provider or clinic.

Who needs request an immunization record?

01
Anyone who needs to provide proof of immunizations for school enrollment, travel, employment, or other purposes.
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Request an immunization record is a formal process to obtain a copy of a person's vaccination history.
Anyone who needs to provide proof of vaccinations or wants to have a copy of their immunization history may be required to file a request for an immunization record.
To fill out a request for an immunization record, you typically need to provide personal information, such as name, date of birth, and contact information, and specify the time frame for which you are requesting immunization records.
The purpose of requesting an immunization record is to have documentation of the vaccines a person has received over the years, which may be required for school enrollment, travel, or employment.
The information reported on a request for an immunization record typically includes the type of vaccine given, the date it was administered, and the healthcare provider who administered it.
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