Get Dc Authorization For Immunization Of A Minor 2018-2025

Filling out the DC Authorization For Immunization Of A Minor form is an important step in ensuring that children receive the necessary vaccinations for their health. This guide will provide you with clear and detailed instructions on how to accurately complete the form online.

Follow the steps to successfully fill out the authorization form.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. In Section 1, provide the child's information. Enter the child's last name, first name, middle initial, and date of birth in the specified format (MM/DD/YYYY). Then, fill in the parent or legal guardian's last name, first name, middle initial, phone number, and address details including city, state, and zip code.
3. In Section 2, indicate your consent for the child's vaccination. Carefully read the statement regarding the importance of immunization. Choose from the provided checkboxes to express your consent or declination regarding your child's vaccinations.
4. If you decline to have your child vaccinated, clearly state the reasons in the provided space.
5. Sign and date the form to confirm your consent or declination. Ensure that you print your name and state your relationship to the child.
6. After filling out the form, save your changes and choose to download or print the document for your records or to submit it as required.

Complete the DC Authorization For Immunization Of A Minor form online today to ensure your child's vaccination needs are met.