Tri-Valley Alumni Immunization Request
Please note: Due to HIPPA laws, we are unable to fax immunization records. Please provide a mailing address or a date and time you will be picking up your records. Transcripts emailed or faxed are NOT official. ALL official transcripts should be mailed. Please allow 24 hours, during school hours, for completion of your request. We will telephone you at the number provided if we are unable to locate your records.
Name *
Your answer
Year of Graduation *
Your answer
Name at Graduation *
Your answer
Date Needed *
MM
/
DD
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YYYY
Current Address *
Your answer
Phone *
Your answer
Fax
Your answer
Mailing Address to send records *
Your answer
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