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State Form 52642 Vaccine Administration Record for Children and Teens - Indiana
What Is State Form 52642?
This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 52642?
A: Form 52642 is the Vaccine Administration Record for Children and Teens used in Indiana.
Q: Who uses Form 52642?
A: Form 52642 is used by healthcare providers in Indiana to keep a record of vaccines administered to children and teens.
Q: Why is Form 52642 important?
A: Form 52642 helps healthcare providers keep an accurate record of vaccines given to children and teens, ensuring they receive the appropriate immunizations.
Q: Is Form 52642 mandatory?
A: While it is not mandatory for individuals to fill out Form 52642, it is recommended to keep an accurate record of vaccines received for future reference.
Form Details:
- Released on April 1, 2006;
- The latest edition provided by the Indiana State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of State Form 52642 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.
Download State Form 52642 Vaccine Administration Record for Children and Teens - Indiana
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