Skip Navigation
Immunization Record Request Form
February 16, 2011

Immunization records may be provided to parents or legal guardians with a valid photo ID. Records are only provided to parents or guardians with a completed, signed request form and in person. Request forms are available at the Independence Health Department (515 S. Liberty St.) or you may click here.

Privacy Policy
© 2014 City of Independence, Missouri. All rights reserved.