We have provided version of the Immunization Worksheet, requirements and submission instruction in alternate languages to assist in communication with your physician. Whenever possible, please submit the English version of the Immunization Worksheet. If you cannot submit the English version, please use only Arabic numbers (1,2,3,4). Please be aware that not submitting the English version may delay the processing of your immunization records. We will contact you if we need any additional information.
|Submission Instructions||Immunization Worksheet|