Form SFN60703 North Dakota Immunization Information System (Ndiis) Adult Opt out - North Dakota

What Is Form SFN60703?

This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SFN60703?
A: Form SFN60703 is the opt-out form for the North Dakota Immunization Information System (NDIIS) for adults.

Q: What is the North Dakota Immunization Information System (NDIIS)?
A: The North Dakota Immunization Information System (NDIIS) is a secure electronic system that keeps track of immunization records for residents of North Dakota.

Q: What is the purpose of Form SFN60703?
A: The purpose of Form SFN60703 is to allow adults to opt out of having their immunization information stored in the NDIIS.

Q: Who can use Form SFN60703?
A: Any adult residing in North Dakota can use Form SFN60703 to opt out of the NDIIS.

Q: How do I complete Form SFN60703?
A: To complete Form SFN60703, you need to fill in your personal information and sign the form to indicate your desire to opt out of the NDIIS.

Q: Is there a deadline for submitting Form SFN60703?
A: There is no specific deadline for submitting Form SFN60703, but it is recommended to submit the form as soon as possible if you wish to opt out of the NDIIS.

Q: Can I change my mind after opting out using Form SFN60703?
A: Yes, you can change your mind after opting out by submitting a new form indicating your desire to opt back into the NDIIS.

Q: Is there a fee for submitting Form SFN60703?
A: No, there is no fee for submitting Form SFN60703.

Q: Who can I contact for more information about Form SFN60703?
A: For more information about Form SFN60703, you can contact the North Dakota Department of Health or your healthcare provider.