Washington state immunization fillable form 2006-2025

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2021 4.9 Satisfied (53 Votes)
2019 4.3 Satisfied (160 Votes)
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2010 4.1 Satisfied (70 Votes)
2006 4 Satisfied (27 Votes)
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Access your Familys Immunization Information Option 1: Sign up for MyIR Mobile at MyIRmobile.com to view and print your familys immunization information, including COVID vaccination. Option 2: Request a complete immunization record from your health care provider, clinic, or local pharmacy.
How to Submit Your Documents Include your name on each page of the documents. Scan your records into PDF format before uploading them. Review your scans. Submit your documents via the CUNYfirst Document Uploader: After you have uploaded your records, email us at wellness@hunter.cuny.edu to confirm that we received them.
Two ways to submit the Certificate of Immunization and supporting documentation: Upload to the online patient portal (preferred method). Click here for portal upload instructions. Or, mail to Immunization Office, 4400 University Drive, MS 2D3, Fairfax VA, 22030. Keep a copy of your documents for your records.
On the portal home page, click on Immunization/TB Upload on the left menu bar. c. On the Immunization/TB Upload page, click on the Add Immunization Record button and navigate to your scanned completed document (e.g., Immunization records, TB Health Assessment Form, etc).
Ask your doctor, pharmacist or other vaccine provider for an immunization record form or download and use this form [4 pages]. Bring this record with you to health visits, and ask your vaccine provider to sign and date the form for each vaccine you receive.
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Do not submit paper forms. Include your name on each page of the documents. Scan your records into PDF format before uploading them. Review your scans. Submit your documents via the CUNYfirst Document Uploader: After you have uploaded your records, email us at wellness@hunter.cuny.edu to confirm that we received them.
Link for the Immunization Form: The form must be returned to the Immunizations Records Office, Room 307 Hunter North. For updated office hours call (212) 772-4800 or email wellness@hunter.cuny.edu. For further information please visit: health services.
Go to My Record Health Summary and select the Immunizations tab. You can see the immunizations youve received and the dates on which you received them. Click the immunization name to learn more. If your immunizations are not up to date, please reach out to your clinic directly to have your information updated.

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