Request for Immunization Records
 
Page 1 of 1
 
  

 
  This request authorizes Rockwall ISD Health Services to provide a copy of immunization records. Any immunization records on file will be sent in the manner selected below. Former students who are 18 years or older must request their own immunization records. If you are requesting records during the school year for a current student, please contact their home campus.
   
1.
*
 
   
2.
*
 
   
3.
*
 
   
4.
*
 
   
5.
*
  Select Date
mm/dd/yyyy
   
6.
*
 
   
7.
 
   
8.
 
   
9.
*
 
  
  
   
10.
 
   
 
 
 
 Done  Save  Cancel