Get Co El Paso County Public Health Immunization Record Request 2014-2025

Filling out the CO El Paso County Public Health Immunization Record Request form online can simplify the process of obtaining vaccination records for you or your loved ones. This guide will walk you through each section and field of the form to ensure a smooth and efficient experience.

Follow the steps to complete your immunization record request easily.

1. Press the ‘Get Form’ button to access the immunization record request form and open it in your editor.
2. In the section labeled 'Today’s Date,' enter the current date to document when you are submitting the request.
3. Indicate the number of copies or originals you are requesting; each copy costs $3.00, while an original costs $5.00. Be sure to specify the quantity in the respective spaces provided.
4. Provide your personal contact information. Fill in your name, and add your home, cell, and work phone numbers in the specified fields. Additionally, include your fax number, email address, and complete mailing address.
5. For each patient whose immunization record you are requesting, fill out their full name (last name and first name) and date of birth (month, day, and year) in the provided fields. You can enter information for up to three patients.
6. Once you have completed the form, review all entries for accuracy. Ensure that all necessary information is included and correct.
7. After confirming that the form is filled out completely, you can save your changes, download a copy, print it for mailing or faxing, and share it as needed.

Complete your immunization record request online today for a hassle-free experience!