Get Nd Immunization Records

Filling out the Nd Immunization Records online is a straightforward process that helps you access your immunization history for yourself or for a child. By following these clear steps, you can easily submit your request while ensuring that all required information is accurately provided.

Follow the steps to complete the Nd Immunization Records form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in your chosen digital editor.
2. Fill in the requested immunization record information. Provide your last name, first name, and date of birth. If you are requesting the record for a child, ensure that you include this information accurately.
3. Select the method for how you would like the record to be sent. You can choose to have it sent via mail or fax.
4. In the requestor's information section, enter your last name and first name. Indicate your relationship to the individual referenced in the immunization record by selecting from the options provided, such as 'self,' 'parent,' or 'guardian.'
5. Fill in your street address, city, state, and ZIP code to ensure the request is processed at the correct location.
6. Provide your telephone number and, if applicable, fax number where you wish to receive the records.
7. Attach supporting documentation. This includes a clear photocopy of your current state-issued driver’s license or picture I.D. If you are a guardian, include the necessary release of information form and court order granting guardianship.
8. Sign the form in the designated area at the bottom. This is required for processing your request.
9. Once you have completed all sections of the form, review the information for accuracy. Save your changes, and then proceed to submit the form either by mail or fax to the North Dakota Department of Health.
10. Please allow at least 10 business days for processing your record request.

Begin filling out your Nd Immunization Records online now to access important health information.