Lifetime Immunization Record Card - Front 2025

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  1. Click ‘Get Form’ to open the Lifetime Immunization Record Card in the editor.
  2. Begin by entering your personal information at the top of the form. Fill in your first name, middle initial, last name, and birthdate in the designated fields.
  3. In the 'Immunization' section, record each vaccination you have received. For each entry, include the date given (month/day/year), type of vaccine, and healthcare provider's name.
  4. If applicable, note any medical conditions or allergies in the 'Medical notes' section to keep your healthcare provider informed.
  5. Ensure that you regularly update this record by adding new vaccinations as they occur. Use our platform’s features to save and share your updated document easily.

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Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or your child received. This record may be required for certain jobs, travel abroad, or school registration.
Contact the Immunization Section 1-877-888-7468. Immunization@FLHealth.gov. 850-922-4195. Florida Department of Health. Immunization Section. 4052 Bald Cypress Way, Bin A11. Tallahassee, FL 32399-1719.
You can request your vaccination records directly from Florida SHOTS by filling out the Florida Department of Health form DH3203 Authorization to Disclose Confidential Information form online, electronically sign and submit it. Request your vaccination records.
Doctors and health clinics keep records of the vaccines they give to your child. Keep in mind that they may save records for only a few years.