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Get Tarrant County Immunization Records
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How to fill out the Tarrant County Immunization Records online
This guide provides a clear, step-by-step approach to completing the Tarrant County Immunization Records online. By following these instructions, users can efficiently and accurately fill out the form, ensuring their information is correctly submitted.
Follow the steps to complete your immunization record request.
- Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
- Begin by filling out the client's information section. Provide the first name, middle name, last name, and date of birth in the designated fields. Ensure the date format is month, day, and year.
- Next, enter the street address, including the apartment number if applicable, city, county, state, and zip code in the corresponding fields.
- Provide a phone number and email address where the immunization record will be sent. Ensure the email address is valid, as the records will only be released to the provided email.
- In the requestor information section, indicate whether you are the parent, guardian, or managing conservator. If applicable, provide the last name, first name, middle name, and maiden name of the requestor.
- Authorize the release of the immunization record by printing your name in the authorized signature section. Sign and date the form, ensuring that the date format is month, day, and year.
- If the applicant is 18 years old or older, read and sign the retention of records section. This allows for the retention of your immunization records in TCIR and acknowledges access by healthcare providers.
- Review all provided information for accuracy. Once confirmed, you can save your changes and send the completed form via email to TCIR@tarrantcounty.com or fax it to 817-850-2381.
Complete your Tarrant County Immunization Records online today to ensure accurate health documentation.
Where can I get a copy of shot record? If you have consented for your child's immunization records to be sent to ImmTrac, the Texas Immunization Registry, call 800.252. 9152 or your local health department to get a copy of your child's record.
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