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DEPARTMENT OF HEALTH & FAMILY SERVICES Division of Public Health DPH 4192 (Rev. 02/08) DAY CARE IMMUNIZATION RECORD STATE OF WISCONSIN ss. 252.04,Wis. Stats. COMPLETE AND RETURN TO DAY CARE CENTER.

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An official immunization record from your doctor or another school will be accepted. 2) Log into your MyJMUChart account to upload the completed and signed immunization form (or official record), as well as a copy of your health insurance card (front and back.) All uploaded forms must be in . pdf format.

How to Submit Your Documents Include your name on each page of the documents. Scan your records into PDF format before uploading them. ... Review your scans. ... Submit your documents via the CUNYfirst Document Uploader: ... After you have uploaded your records, email us at wellness@hunter.cuny.edu to confirm that we received them.

Go to http://immunize.msu.edu. Log onto the site with your MSU NetID and password. Click the "Complete your Immunization Self-Report Form" button. Fill out the form.

Upload: (Recommended method): Log in to UHC Patient Portal. Select “Immunization Upload” from the left column. Upload Immunizations and TB Screening Form. Mail to: Registration and Health Information University Health Center, The University of Georgia, Athens, GA 30602-1755. Fax to: 706-542-4959 or 706-583-0777.

Parents will need to provide Georgia Immunization Certificate (Form 3231) to their child's school or child care to show their child has been vaccinated against certain preventable diseases.

Returning Students in a Health-Related Program Current students can print out their immunization history by using the patient portal. Former students must complete the Authorization to Release or Obtain Medical Records form and return it to Student Health Services via fax or mail.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232