Philavax Immunization Record Request Form - City of Philadelphia, Pennsylvania (Chinese Simplified)

Philavax Immunization Record Request Form - City of Philadelphia, Pennsylvania (Chinese Simplified)

This is a legal document that was released by the Department of Public Health - City of Philadelphia, Pennsylvania - a government authority operating within Pennsylvania.

The form may be used strictly within City of Philadelphia.The document is provided in Chinese Simplified.

FAQ

Q: What is the Philavax Immunization Record Request Form?
A: The Philavax Immunization Record Request Form is a document used to request immunization records in the City of Philadelphia, Pennsylvania.

Q: Is the form available in Chinese Simplified?
A: Yes, the form is available in Chinese Simplified.

Q: What is the purpose of the form?
A: The purpose of the form is to request immunization records for individuals who reside in the City of Philadelphia, Pennsylvania.

Q: Who can request immunization records using this form?
A: Any individual who resides in the City of Philadelphia, Pennsylvania can request immunization records using this form.

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Form Details:

  • Released on February 1, 2023;
  • The latest edition currently provided by the Department of Public Health - City of Philadelphia, Pennsylvania;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Department of Public Health - City of Philadelphia, Pennsylvania.

Download Philavax Immunization Record Request Form - City of Philadelphia, Pennsylvania (Chinese Simplified)

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  • Philavax Immunization Record Request Form - City of Philadelphia, Pennsylvania (Chinese Simplified), Page 1
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