IMMUNIZATION/VACCINE RECORD REQUEST

If you or your child has had a wellness visit within the last 12 months, we are happy to provide a copy of the LA state immunization form at no additional cost. Any additional forms will require an office visit or a $25 fee for the paperwork. Please allow 24 hours or one business day for a reply to your request.

Dr. Elizabeth B. White, M.D.
COPYRIGHT 2013 ALL RIGHTS RESERVED ELIZABETH B. WHITE, M.D. 205 HIGHLAND PARK PLAZA, COVINGTON, LA 70433    985.871.8681
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