This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F-44702?
A: Form F-44702 is the Vaccine Administration Record for the state of Wisconsin.
Q: What is the purpose of Form F-44702?
A: Form F-44702 is used to document the administration of vaccines in Wisconsin.
Q: Who uses Form F-44702?
A: Healthcare providers in Wisconsin use Form F-44702 to record vaccine administrations.
Q: What information is included in Form F-44702?
A: Form F-44702 includes information about the vaccine type, lot number, date of administration, location, and healthcare provider details.
Q: Is Form F-44702 mandatory?
A: Yes, healthcare providers in Wisconsin are required to use Form F-44702 to record vaccine administrations.
Q: Can individuals access their own Form F-44702?
A: Yes, individuals can request a copy of their Form F-44702 from the healthcare provider who administered the vaccine.
Q: Is there a fee to obtain Form F-44702?
A: The cost of obtaining Form F-44702 may vary depending on the healthcare provider.
Q: Can Form F-44702 be used for vaccines administered outside of Wisconsin?
A: Form F-44702 is specific to vaccines administered in Wisconsin and may not be applicable for vaccines administered outside of the state.
Q: What should I do if there is an error on my Form F-44702?
A: If there is an error on your Form F-44702, you should contact the healthcare provider who administered the vaccine to request a correction.
Form Details:
Download a fillable version of Form F-44702 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.