Get Spokane Regional Health District 1999 Birth Certificate Follow-back ... - Srhd

This guide provides clear instructions on how to complete the Spokane Regional Health District's 1999 Birth Certificate Follow-Back survey online. It is essential for users to accurately provide information regarding childhood immunizations.

Follow the steps to effectively complete the survey.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. Carefully read through the introductory information, which outlines the purpose and importance of the survey. Ensure you understand the details provided about the study before proceeding.
3. In Section I, provide accurate details about the child, including name, date of birth, and any other requested identifying information. Double-check for accuracy.
4. Move to Section II, where you will provide information about health care visits and immunizations received by the child. Refer to any available immunization records for specific details.
5. Continue to Section III to indicate the dates on which immunizations were received. This section is crucial for providing a complete immunization history.
6. In Section IV, reflect on personal experiences related to immunizations, including any barriers faced and overall awareness of immunization schedules.
7. Complete Section V by providing demographic information about the respondent, including age, marital status, education level, and household income.
8. After completing all sections, review the information to ensure it is complete and accurate.
9. Finally, save your changes to the form, and utilize the options provided to download, print, or share the form as necessary.

Complete the survey online to contribute to vital public health data.