Get Texas Department Of State Health Services, Immtrac Group Mc ... - Dshs Texas

Navigating the Texas Department Of State Health Services, ImmTrac Group MC ... form can be straightforward when you have a clear guide. This document outlines the necessary steps to ensure you complete the form accurately and efficiently.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in your last name, first name, and middle name in the designated fields. Ensure to print clearly for legibility.
3. Select your gender by indicating either 'Male' or 'Female' by checking the appropriate box.
4. Enter your date of birth in the specified format. Follow up by providing your full address, including apartment number, city, state, and zip code.
5. Provide your telephone number for future contact related to the form.
6. Fill in your mother's first name and mother's maiden name as requested in the form.
7. Review the consent section, ensuring you understand the authorizations you are granting. This includes the release of your immunization information to various organizations.
8. Sign and date the form in the designated areas to validate your consent for registration.
9. Once all fields are completed, save the changes, and you have the option to download a copy, print the document, or share it as needed.

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