Common Contracts
1 similar Access and Confidentiality Agreement contracts
To obtain a user name and password, return a signed copy of this form to: Immunization Registry, Vermont Dept of Health, 108 Cherry Street, PO Box 70, Burlington VT 05402. Questions: call (888) 688-4667.Access and Confidentiality Agreement • September 10th, 2014
As a health care provider, you are legally required by 18 VSA § 1129(a) to report to the Department of Health all data regarding immunizations of adults and children within seven days of the immunization in a form required by the Department.
