Form F-44257 Wisconsin Immunization Record Card - Wisconsin

Form F-44257 Wisconsin Immunization Record Card - Wisconsin

What Is Form F-44257?

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.

FAQ

Q: What is Form F-44257?
A: Form F-44257 is the Wisconsin Immunization Record Card.

Q: What is the purpose of Form F-44257?
A: The purpose of Form F-44257 is to record immunizations received in Wisconsin.

Q: Who uses Form F-44257?
A: Form F-44257 is used by individuals, healthcare providers, and schools to keep track of immunization records.

Q: What information is included on Form F-44257?
A: Form F-44257 includes information such as the individual's name, date of birth, immunizations received, and the healthcare provider's signature.

Q: Is Form F-44257 mandatory?
A: While there is no state law requiring the use of Form F-44257, many healthcare providers and schools in Wisconsin require immunization records to be documented on this form.

Q: What should I do if I lose my Form F-44257?
A: If you lose your Form F-44257, you should contact your healthcare provider or the Wisconsin Department of Health Services to obtain a new copy.

Q: Can I use Form F-44257 for immunizations received outside of Wisconsin?
A: Form F-44257 is specifically designed for immunizations received in Wisconsin. If you have immunizations received outside of Wisconsin, you may need to use a different form or document.

Q: Can I request a copy of my immunization records from the Wisconsin Department of Health Services?
A: Yes, you can request a copy of your immunization records from the Wisconsin Department of Health Services. Contact them for more information on the process.

Q: What should I do if there is an error on my Form F-44257?
A: If there is an error on your Form F-44257, you should contact your healthcare provider or the Wisconsin Department of Health Services to have it corrected.

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Form Details:

  • Released on December 1, 2016;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form F-44257 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-44257 Wisconsin Immunization Record Card - Wisconsin

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