Texas Immunization Registry (Immtrac2) - Withdrawal of Consent and Confirmation Form is a legal document that was released by the Texas Health and Human Services - a government authority operating within Texas.
Q: What is the Texas Immunization Registry?
A: The Texas Immunization Registry (Immtrac2) is a centralized system that stores and manages immunization records for residents of Texas.
Q: What is the Withdrawal of Consent and Confirmation Form?
A: The Withdrawal of Consent and Confirmation Form is a document that allows individuals or parents/legal guardians to withdraw consent for their immunization records to be stored in the Texas Immunization Registry.
Q: What languages is the form available in?
A: The form is available in both English and Spanish.
Q: Why would someone want to withdraw consent for their immunization records in the registry?
A: There could be various reasons, such as privacy concerns or personal choice.
Q: How can someone withdraw consent for their immunization records to be stored in the registry?
A: They can do so by completing the Withdrawal of Consent and Confirmation Form, either in English or Spanish.
Q: Is there a deadline for submitting the form?
A: There is no specific deadline for submitting the form. However, it is recommended to submit it as soon as possible if consent withdrawal is desired.
Q: What happens after the form is submitted?
A: Once the form is submitted, consent to store immunization records in the Texas Immunization Registry will be withdrawn.
Q: Can consent be reinstated after it has been withdrawn?
A: Yes, consent can be reinstated by completing a new Consent and Confirmation Form.
Q: Are there any consequences of withdrawing consent for immunization records in the registry?
A: Withdrawing consent may make it more difficult to track and manage immunization records in the future, especially during public health emergencies.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.