This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
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.
Q: What is the Immunization Record Request Application Form?
A: The Immunization Record Request Application Form is a document used in New York City to request immunization records.
Q: Why would I need the Immunization Record Request Application Form?
A: You would need the Immunization Record Request Application Form if you need to access your immunization records or the records of your child.
Q: Can I request immunization records for someone other than myself or my child?
A: Yes, you can request immunization records for someone other than yourself or your child, but you must provide legal documentation to prove your relationship or authority.
Q: Is there a fee for requesting immunization records using the Immunization Record Request Application Form?
A: No, there is no fee for requesting immunization records using the Immunization Record Request Application Form.
Q: How long does it take to process the Immunization Record Request Application Form?
A: The processing time for the Immunization Record Request Application Form may vary, but it generally takes around 7-10 business days.
Form Details:
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.