Immunization Record Form
An Immunization Record Form is a document used to keep track of a person's vaccination history. It typically includes information such as the person's name, date of birth, and a list of vaccines they have received, including the date and location of administration. This form helps healthcare providers ensure that patients receive the appropriate vaccinations and schedule any necessary booster shots. By using an electronic form, healthcare providers can easily update and access the information from anywhere, making it a convenient and efficient way to manage immunization records.
Unlimited submissions
Clean design
Detailed documentation

Unparalleled features creating true impact
Complex schedules made easy
Run group and recurring bookings, ad-hoc appointments, and more.
Private and group chats
Support patients with on and offline chat messaging and file sharing.
Video calls from anywhere
Crisp and secure video appointments from any device.
Medical form builder
Free up front desk with digital forms completed online prior to visit.
Remote patient monitoring
Assess health indicators virtually using mobile & web cameras.
Custom notifications for all
Set dynamic email and SMS notifications for patient and staff.
Customizable booking page
Create your booking page, embed it into your site or share a link.
Patient management portal
For patients to manage sessions, prescriptions and more.