Get Texas Department Of State Health Services Immtrac - Texas

Filling out the Texas Department of State Health Services ImmTrac form is a crucial step for registered sites accessed information. This guide provides clear, step-by-step instructions to assist users in completing the form online effectively and accurately.

Follow the steps to complete the ImmTrac form online.

1. Press the ‘Get Form’ button to retrieve the form and open it in your online document editor.
2. Enter the required site information, including the site name, date, physical address, city, zip code, county, and phone number. Ensure that all mandatory fields are completed.
3. List the point of contact's full name, title, phone number, and email address. Also, include the names, phone numbers, and emails of all authorized users associated with the site.
4. Review the agreements outlined regarding access, training, support, and confidentiality. Acknowledge your understanding and compliance with these responsibilities by signing the confidentiality statement.
5. If applicable, provide information indicating whether your site requires paper reporting authority due to lack of internet access. Mark the designated box and provide the name, title, and signature of the authorized person signing on behalf of your site.
6. Once you have filled out the form comprehensively, you can save the changes, download a copy for your records, print a version, or share it with the appropriate party.

Complete your ImmTrac form online today to ensure proper and secure access to immunization information.