Ricair 2026

1. Click ‘Get Form’ to open the RICAIR COVID-19 Immunization Record Correction Request in the editor.
2. Begin by filling out the Patient Information section. Enter the Patient Name, Date of Birth, Gender, Email, and Phone Number. Ensure that you provide a Cell Preferred number for easier communication.
3. Next, complete the Street Address, City, State, and ZIP fields accurately to ensure proper identification.
4. In the Change Requested section, specify what correction is needed. Remember to attach a copy of the COVID-19 Vaccination Record Card or any official immunization record.
5. If applicable, check the box indicating if the immunization was given at a clinic or doctor’s office outside of Rhode Island and provide the name of that practice or location.
6. In the Authorization section, confirm your identity by checking the certification box and providing your Electronic Signature along with the Date.

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