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Get Wi Dhs F-42008a 2018-2025

DEPARTMENT OF HEALTH SERVICES Division of Public Health F42008A (02/2018)STATE OF WISCONSIN Bureau of Communicable DiseasesWISCONSIN IMMUNIZATION REGISTRY USER AGREEMENTOrganization or School/District.

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Related content

Wisconsin Immunization Registry User Agreement
Division of Public Health. F-42008A (02/2018). STATE OF WISCONSIN. Bureau of Communicable...
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... 239 help 240 what 241 work 242 f 243 07 244 glossary 245 test 246 set 247 ... transfer...
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If you're a parent or legal guardian, you also can look up your children's records. Many people in Wisconsin receive vaccines from more than one provider. Public access to WIR allows you to find your vaccine record quickly and easily, from anywhere you have access to a computer or smart phone.

Wisconsin's statewide, population-based IIS, the Wisconsin Immunization Registry (WIR), was established in 2000 by the Wisconsin Divisions of Public Health (WDPH) and Health Care Access and Accountability.

Wisconsin Immunization Registry (WIR) is an online database that tracks vaccine records for Wisconsin children and adults. WIR is an important tool that: Helps ensure children and adults receive vaccines on time.

This may have happened for a number of reasons: The person's vaccine record may not have been recorded in WIR by a doctor's office. The person's vaccine record is in WIR, but the searchable information (for example, the social security number, date of birth, or chart number) may be missing or wrong.

WIR must receive a completed Opt-out request before the record is locked in the WIR. Print name of person whose record will be locked. By signing this Opt-out Request, I confirm that I am the individual, or parent/legal guardian of the child named above.

ImmTrac2, the Texas Immunization Registry Only doctors, schools, child-care centers, public healthcare providers, and other authorized healthcare organizations may directly access ImmTrac. Immunization records are NOT available to view online by the general public, including parents or legal guardians.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232