Form SFN61133 Ndiis Data Request Document - North Dakota

What Is Form SFN61133?

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 SFN61133?
A: Form SFN61133 is a NDIIS Data Request Document in North Dakota.

Q: What is NDIIS?
A: NDIIS stands for North Dakota Immunization Information System. It is a confidential, computerized system that stores immunization records of individuals in North Dakota.

Q: Who can use Form SFN61133?
A: Form SFN61133 can be used by authorized healthcare providers or organizations in North Dakota who are requesting access to immunization data from NDIIS.

Q: What information is required on Form SFN61133?
A: Form SFN61133 requires information such as the requesting organization's name, address, contact information, the purpose of the data request, and the signature of an authorized representative.

Q: What is the purpose of NDIIS?
A: The purpose of NDIIS is to consolidate immunization records, ensure accurate and timely documentation of immunizations, and facilitate immunization reporting and analysis.

Q: Is there a fee for accessing NDIIS data?
A: Yes, there may be a fee for accessing NDIIS data. The fee varies depending on the type of request and the volume of data being requested.

Q: How long does it take to process a NDIIS data request?
A: It typically takes 5-10 business days to process a NDIIS data request, depending on the complexity of the request and the volume of data being requested.

Q: Who can I contact for more information about Form SFN61133 and NDIIS?
A: For more information about Form SFN61133 and NDIIS, you can contact the NDIIS program office or the North Dakota Department of Health.