Travel the world.


A STAMARIL Center
John D. Wilson, M.D.
1200 Hilyard St., Ste. 560
Eugene, Oregon 97401 USA
541.343.6028
fax 541.485.7702
www.TravelClinicOregon.com


IMMUNIZATION RECORDS REQUEST

 

Please send requests for a summary of your immunization records to:

John D. Wilson, M.D.
Post Office Box 5337
Eugene OR 97405

Please note that requests will be more readily serviced for patients seen since Jan 1, 2008. Availability of information for patients we have not seen since that date may be somewhat limited.

Requests should include:

  • full name and any different past names

  • birthdate

  • address

  • signature of the requestor (and relationship if requested by someone other than the patient).

 Records will be USPS mailed to you. There could be up to a two week delay following our receipt of your request until you receive the record copies.

Best of health in your travels,

John D. Wilson, M.D.
 

 

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  John D. Wilson, M.D. 1999-2016; Last Update 4/26/2016