AGENCY: Tooele County (Utah). Department of Health

SERIES: 7568
TITLE: Immunization consent cards
DATES: 1981-
ARRANGEMENT: Numerical by encounter number

DESCRIPTION: These are cards completed by parents before their children receive immunizations for measles, mumps, rubella, polio, diptheria, tetanus, and pertussis. These consent forms are secured to help protect the local health department against suit for failure to obtain informed consent under UCA 78-14-5 (1990). These forms include the patient's name, address, age, and date of birth; the signature of the consenting adult; and a printed description of the benefits and risks of the vaccine.

RETENTION

Retain for 10 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 09/1991

FORMAT MANAGEMENT

Paper: Retain in Office for 2 years and then transfer to State Records Center. Retain in State Records Center for 8 years and then destroy.

APPRAISAL

Administrative

This disposition is based on the advise of the State Health Department and the National Center for Disease Control (CDC). This retention is 5 years longer than the approved retention of 5 years previously approved in the Local Health Department General Records Retention Schedule (6/87).

PRIMARY DESIGNATION

Private