This 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.
The document is provided in Haitian Creole.
Q: What is the immunization record request application for?
A: The immunization record request application is for requesting immunization records.
Q: Who is the immunization record request application for?
A: The immunization record request application is for residents of New York City.
Q: Can I request my immunization records in Haitian Creole?
A: Yes, the immunization record request application is available in Haitian Creole.
Q: How can I get a copy of my immunization records?
A: You can request a copy of your immunization records through the immunization record request application.
Q: Is there a fee for requesting immunization records?
A: No, there is no fee for requesting immunization records in New York City.
Q: How long does it take to receive the requested immunization records?
A: It may take up to 30 days to receive the requested immunization records.
Q: Can I request immunization records for my child?
A: Yes, you can request immunization records for your child through the immunization record request application.
Q: What information do I need to provide when requesting immunization records?
A: You need to provide information such as your full name, date of birth, and contact information when requesting immunization records.
Q: Can I request immunization records for someone other than myself?
A: Yes, you can request immunization records for someone other than yourself if you have their written permission or are their legal guardian.
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.