Immunization Record Request Application Form - New York City

Immunization Record Request Application Form is a legal document that was released by the New York City Department of Health and Mental Hygiene - a government authority operating within New York City.

Form Details:

• Released on September 16, 2019;
• The latest edition currently provided by the New York City Department of Health and Mental Hygiene;
• Ready to use and print;
• Easy to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New York City Department of Health and Mental Hygiene.