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How to fill out the TX DSHS Form C-7 online
Filling out the TX DSHS Form C-7 online can streamline the process of registering your child's immunization records with the Texas Department of State Health Services (DSHS). This guide provides step-by-step instructions to ensure that you complete the form accurately and efficiently.
Follow the steps to complete the TX DSHS Form C-7 online.
- Press the ‘Get Form’ button to access the TX DSHS Form C-7 and open it in your preferred editor.
- Begin by entering the child's last name, middle name, and first name in the respective fields.
- Select the child's gender by marking either 'Male' or 'Female'.
- Input the child's date of birth in the provided format.
- Fill in the child’s address, including apartment number, city, state, and zip code.
- Enter the mother’s first name and maiden name as required.
- Provide a telephone number where you can be reached.
- Indicate the county of residence.
- Read through the consent section carefully, ensuring that you understand the implications of enrolling your child in the ImmTrac registry.
- Sign and date the form where indicated to grant consent.
- Make sure to print your name clearly below your signature.
- Once all fields are completed, save your changes, and download or print the form as necessary.
- Submit the finished form by faxing or mailing it to the DSHS ImmTrac Group or a registered healthcare provider.
Complete your TX DSHS Form C-7 online today for a secure and efficient way to manage your child's immunization records.
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