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Form H1012 Immunization Record - Texas
What Is Form H1012?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form H1012?
A: Form H1012 is an immunization record used in Texas.
Q: Who is required to use Form H1012?
A: Parents or guardians of children attending school or child care facilities in Texas are required to use Form H1012.
Q: What is the purpose of Form H1012?
A: Form H1012 is used to document a child's immunization history and ensure compliance with Texas immunization requirements.
Q: What information is included on Form H1012?
A: Form H1012 includes information about the child, their immunization history, and healthcare provider.
Q: Are there any fees associated with Form H1012?
A: No, there are no fees associated with Form H1012.
Q: How often should Form H1012 be updated?
A: Form H1012 should be updated whenever the child receives new immunizations.
Q: What happens if I don't submit Form H1012?
A: Failure to submit Form H1012 may result in the child being excluded from school or child care facilities.
Q: Can I use Form H1012 for adults' immunization records?
A: Form H1012 is specifically for children's immunization records. Adults should use a different form or consult their healthcare provider.
Form Details:
- Released on September 1, 1996;
- The latest edition provided by the Texas Health and Human Services;
- 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 Form H1012 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
