Department of Health And Sample Contracts

DO NOT RETURN – KEEP FOR YOUR SCHOOL’S RECORDS**
Department of Health And • August 25th, 2005

• Comply with the Wisconsin Immunization Registry (WIR) Security and Confidentiality Agreement – DPH 42008 and my organization's normal protocol for releasing identifying immunization information for clients.

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WISCONSIN IMMUNIZATION REGISTRY (WIR) SECURITY AND CONFIDENTIALITY AGREEMENT
Department of Health And • August 25th, 2005
WISCONSIN IMMUNIZATION REGISTRY (WIR) USER SECURITY AND CONFIDENTIALITY AGREEMENT
Department of Health And • December 6th, 2005

• Comply with the Wisconsin Immunization Registry (WIR) Security and Confidentiality Agreement – DPH 42008 and my organization's normal protocol for releasing identifying immunization information for clients.

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