Get Ec-7 Consent Form (bilingual) 05-18-2012.doc. Plc Complaint Form - Dshs State Tx

The EC-7 Consent Form is essential for authorizing the registration of a child under the Texas immunization registry, ImmTrac. In this guide, we will walk you through the process of filling out the form online, ensuring that you understand each section of the document and how to complete it correctly.

Follow the steps to fill out the EC-7 Consent Form.

1. Click the ‘Get Form’ button to obtain the EC-7 Consent Form and open it in your document editor.
2. Provide the child’s last name, first name, and middle name in the designated fields. Make sure to print clearly.
3. Indicate the child's gender by selecting either 'Male' or 'Female'.
4. Enter the child’s date of birth in the specified format.
5. Fill out the child’s address, including apartment number, city, state, and zip code.
6. Provide the mother’s first name and maiden name in the appropriate fields.
7. Add a telephone number where the parent or guardian can be reached.
8. Select the county where the child resides.
9. Review the consent statement carefully to ensure understanding of the implications of granting consent for inclusion in the ImmTrac registry.
10. Sign and date the form in the respective fields, providing a printed name as well.
11. Once completed, you can save the document, download it, print it, or share it as needed.

Complete the EC-7 Consent Form online today to ensure your child's immunization records are managed effectively.