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Get NC Immunization Registry Mass Clinic Form 2017-2024
North Carolina Immunization Registry Mass Clinic Form Name of Organization:Chart Number:YOU MUST COMPLETE ALL FIELDS BELOW. Information collected on this form will be used to document authorization.
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Vis FAQ
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The SC Certificate of Immunization can be obtained from your local health department, most health care providers, and some school nurses. You will need to provide your child's current immunization record for the certificate to be completed. Contact your local county health department for more information.
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Go to: https://ncir.ncdhhs.gov/ 2. Enter your username and password and click Login.
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Required Immunizations You must enter and upload your immunization records to your MyHealthSpace account at sc.edu/myhealthspace. Login is your UofSC network username and password, plus your date of birth. Once logged in, visit the "Medical Clearances" portion and click on "Immunizations Record".
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Vaccine Locator All South Carolinians age 6 months and older can now get the COVID-19 vaccine. We advise that you call providers to make sure that they have appointment availability before visiting. Need assistance? Call 1-855-472-3432 for help with COVID-19 vaccine questions and provider information.
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The South Carolina Certificate of Religious Exemption may only be obtained at a county public health department. Forms cannot be e-mailed or mailed. Religious exemptions are only available for those attending childcare facilities and K-12 schools.
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Phone: 1-877-873-6247. Fax: 1-800-544-3058. Email: ncirhelp@dhhs.nc.gov. Immunization Inquiry – Recipients.
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SIMON questions: DHEC Immunization Division IIS Unit at simon@dhec.sc.gov or 800-277-4687, option 3.
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