Form SFN58454 North Dakota Immunization Record Request - North Dakota

What Is Form SFN58454?

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 the SFN58454 form?
A: The SFN58454 form is the North Dakota Immunization Record Request form.

Q: What is the purpose of the form?
A: The form is used to request a copy of an individual's immunization records in North Dakota.

Q: Do I need to pay a fee to request my immunization records?
A: Yes, there is a fee associated with the request. The current fee can be found on the form or by contacting the North Dakota Department of Health.

Q: Can I request immunization records for someone other than myself?
A: Yes, you can request records for someone other than yourself if you are the parent or legal guardian, or if you have written authorization from the individual.

Q: How long does it take to process the request?
A: The processing time may vary, but it usually takes a few weeks to receive a copy of the immunization records.

Q: What information is required on the form?
A: The form requires the individual's name, date of birth, social security number (if available), and contact information.

Q: Can I request immunization records from another state using this form?
A: No, this form is specifically for requesting immunization records in North Dakota. You will need to contact the appropriate state health department for records from other states.