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This form allows individuals or their legal guardians to formally opt-out of having their immunization information included in the Wyoming Immunization Registry. It details the responsibilities of maintaining personal immunization records and provides contact information for submission and inquiries.
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How to fill out wyoming immunization registry opt-out

01
Download the Wyoming Immunization Registry Opt-Out form from the official website.
02
Fill out the required personal information, including your name, address, and contact details.
03
Indicate your preference to opt-out by checking the appropriate box on the form.
04
Sign and date the form to confirm your decision.
05
Submit the completed form to your local public health office or the Wyoming Department of Health.

Who needs wyoming immunization registry opt-out?

01
Parents or guardians who do not want their children's immunization records stored in the Wyoming Immunization Registry.
02
Individuals who want to limit the access to their immunization information for privacy reasons.
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The Wyoming Immunization Registry opt-out allows individuals or guardians to formally decline participation in the state's immunization registry, which records vaccination information.
Parents or guardians of minors who wish to opt out of the Wyoming Immunization Registry are required to file the opt-out form.
To fill out the Wyoming Immunization Registry opt-out, individuals must complete the official opt-out form provided by the Wyoming Department of Health, ensuring all required fields are accurately filled and submitted.
The purpose of the Wyoming Immunization Registry opt-out is to provide individuals and guardians with the choice to exclude their immunization records from being stored in the state's registry.
The information required on the Wyoming Immunization Registry opt-out form typically includes the individual's name, contact information, and a statement indicating the desire to opt-out.
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