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New Hampshire Immunization Information System (Nhiis) Withdrawal Form - New Hampshire
New Hampshire Immunization Information System (Nhiis) Withdrawal Form is a legal document that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire.
FAQ
Q: What is the New Hampshire Immunization Information System (NHIIS)?
A: The NHIIS is a database that stores immunization records for residents of New Hampshire.
Q: What is the purpose of the NHIIS withdrawal form?
A: The NHIIS withdrawal form is used to request that your immunization records be removed from the NHIIS database.
Q: Why would someone want to withdraw their immunization records from the NHIIS?
A: There may be various reasons why someone would want to withdraw their immunization records, such as personal preference or privacy concerns.
Q: Is there a deadline for submitting the NHIIS withdrawal form?
A: There is no specific deadline for submitting the NHIIS withdrawal form, but it is recommended to do so as soon as possible.
Q: What information do I need to provide on the NHIIS withdrawal form?
A: You will need to provide your personal information, such as your name and contact information, as well as the information of the person whose records you want to withdraw.
Q: Can I withdraw the immunization records of someone else?
A: Yes, you can withdraw the immunization records of someone else if you have their consent and provide their information on the withdrawal form.
Q: What happens after I submit the NHIIS withdrawal form?
A: Once you submit the NHIIS withdrawal form, your request will be processed, and the immunization records will be removed from the NHIIS database.
Q: Can I request a copy of the immunization records being withdrawn?
A: Yes, you can request a copy of the immunization records being withdrawn at the time of submitting the NHIIS withdrawal form.
Q: Who should I contact if I have further questions about the NHIIS withdrawal process?
A: You should contact the New Hampshire Immunization Program for further questions about the NHIIS withdrawal process.
Form Details:
- Released on July 1, 2022;
- The latest edition currently provided by the New Hampshire Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.
