№ lp_2_3_57618
Form for immunization providers to register a clinic in the Pennsylvania Immunization Registry System, indicating clinic details, contacts, type of services, and compliance with data privacy regulations.
Year: Not specified
Region / City: Pennsylvania, USA
Document Type: Form
Organization: Not specified
Author: Chief medical officer or equivalent of the organization
Target Audience: Immunization providers
Purpose: Register a clinic in PIERS to report vaccination data and access patient vaccination records
Date of Issue: Not specified
Date of Revision: Not specified
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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