Immunization Record Request Form: Fill & Download for Free

For our three children, we had a wonderful pediatrician who was very personable and always made time to talk with the kids, treating them like individuals. We also appreciated that her fees were reasonable.One day, we received notice that our doctor was moving from her modest office to a brand new posh building complete with valet, or paid parking. The suite had an enormous salt water aquarium filled with tang, puffer fish and striped eels (I’ve come to think of expensive fish tanks in a doctor’s office as an ominous sign).The new office was across town but we hung in there for a bit, soon to discover that we were charged for the copies of immunization records we used to get for free. We also noticed a pattern with the visits: our beloved pediatrician would enter the room like she was shot from a cannon, give a cursory exam and dispense a prescription based on symptoms listed on the intake form. We couldn’t get a word in edgewise before her hand was already on the door to leave. When we persisted in asking a question, she would half turn back toward us while keeping her hand on the door lever.We started referring to her as “Dr. Door Knob.”Visits went from 8–10 minutes to about 90 seconds.We assumed the change in character and practices was the result of some monetization seminar and the cost of feeding eels.When we received a marketing survey sponsored by the doctor, we answered candidly and were surprised to receive a terse call from an office administrator.We decided maybe it was time to find a new pediatrician.The last straw came when we requested transfer of our medical records and the former pediatrician refused to send them. Instead, we received a call telling us that we had an appointment for a checkup that we hadn’t scheduled.We canceled the appointment and again requested the medical records transfer.We received another uncomfortable call from the administrator asking if and why we intended to change physicians.When we explained our reasons once more, the administrator informed us that there would be a $100 fee to transfer the records. Initially, she seemed to imply that the fee would be per child. When we baulked, she relented to the single fee of $100.We made the switch and never looked back.

It’s doubtful that ALL of your identification was stolen. Also, the majority of government agencies issue identification cards with digital photographs on them. That means they can look up your photo on their databases and visually conform who you are.Additionally, your employer and/or school have copies of your identification on file as they require it for tx and documentation purposes. Simply go to the office which controls these documents and request copies so that you can have new identification issued. They shouldn’t have any problems with doing this as they are, of course, your documents.Finally, your family members should have at least one form of identification. Your parents should have your immunization records, a diploma or even your original birth certificate. Your siblings may also have one or more identification documents or even yearbooks and photos containing your image along identifying captions or comments,

Typical requirements are:Proof of residence within the school district (e.g., a rental agreement)Transcripts from previous schoolsProof of immunizationThe district has all that info online.Palo Alto Unified School DistrictMeet the Palo Alto Unified School District Attendance RequirementsProvide the following original documents to Central Attendance OfficeCompleted Registration form/Formulario de inscripción Completed Residency Declaration Form/Declaracion de DomicilioChild's Birth Certificate or PassportParent’s Government Issued Photo IDImmunization Records (Required at time of registration. Does not need to be up-to-date. However, parent MUST provide documentation indicating all requirements have been met prior to the start of school.)Health Requirements K- 12Health Report for School Entry form1st grade students onlyOral Health Assessment/Waiver Request FormKindergarten and 1st grade students onlyCurrent Property Tax Statement indicating a Homeowner’s ExemptionORCurrent Lease Agreement with Manager/Landlord’s contact information.If lease has expired and is now month-to-month, letter from the manager/landlord indicating the parents are current residents.City of Palo Alto or PG&E utility bills – Three most recent monthsORCurrent DMV Vehicle RegistrationHigh School Students Entering 10th, 11th, or 12th Grade and 9th Grade Students Entering the 2nd Semester: an Official Transcript that has been professionallytranslated must be provided.