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Request for Immunization / Vaccination Record - New Hampshire
Request for Immunization/Vaccination Record 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 information do I need to provide when requesting my immunization/vaccination record?
A: You may need to provide your personal information such as full name, date of birth, and contact information when requesting your immunization/vaccination record.
Q: Is there a fee to request my immunization/vaccination record in New Hampshire?
A: There may be a fee to request your immunization/vaccination record in New Hampshire. Contact your healthcare provider or the New Hampshire Immunization Program for more information.
Q: How long does it take to receive my immunization/vaccination record after requesting it?
A: The time it takes to receive your immunization/vaccination record may vary. Contact your healthcare provider or the New Hampshire Immunization Program for an estimate.
Q: Can I request immunization/vaccination records for my child in New Hampshire?
A: Yes, you can request immunization/vaccination records for your child in New Hampshire. Contact your child's healthcare provider or the New Hampshire Immunization Program for more information.
Form Details:
- Released on March 1, 2016;
- 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 printable 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.
