{"id":10588,"date":"2024-08-28T11:42:07","date_gmt":"2024-08-28T15:42:07","guid":{"rendered":"https:\/\/vaccines.phila.gov\/?post_type=portfolio_page&#038;p=10588"},"modified":"2026-05-06T13:09:34","modified_gmt":"2026-05-06T17:09:34","slug":"immunization-record-request-form-multiple-languages","status":"publish","type":"portfolio_page","link":"https:\/\/vaccines.phila.gov\/index.php\/portfolio_page\/immunization-record-request-form-multiple-languages\/","title":{"rendered":"Immunization Record Request Form (Multiple Languages)"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized multiple-resource-gallery is-style-default\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_ENG.pdf\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-eng.jpg\" alt=\"\" class=\"wp-image-13931\" style=\"width:554px\" srcset=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-eng.jpg 600w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-eng-480x480.jpg 480w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-eng-150x150.jpg 150w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-eng-570x570.jpg 570w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-eng-500x500.jpg 500w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-eng-300x300.jpg 300w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-eng-100x100.jpg 100w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><figcaption class=\"wp-element-caption\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_ENG.pdf\">Immunization Record Request &#8211; English<\/a><\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized multiple-resource-gallery\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_CHI.pdf\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-chi.jpg\" alt=\"\" class=\"wp-image-13930\" style=\"width:554px\" srcset=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-chi.jpg 600w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-chi-480x480.jpg 480w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-chi-150x150.jpg 150w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-chi-570x570.jpg 570w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-chi-500x500.jpg 500w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-chi-300x300.jpg 300w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-chi-100x100.jpg 100w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><figcaption class=\"wp-element-caption\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_CHI.pdf\">Immunization Record Request &#8211; Chinese (Simplified)<\/a><\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized multiple-resource-gallery\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_FRE.pdf\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-fre.jpg\" alt=\"\" class=\"wp-image-13933\" style=\"object-fit:cover;width:554px;height:auto\" srcset=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-fre.jpg 600w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-fre-480x480.jpg 480w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-fre-150x150.jpg 150w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-fre-570x570.jpg 570w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-fre-500x500.jpg 500w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-fre-300x300.jpg 300w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-fre-100x100.jpg 100w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><figcaption class=\"wp-element-caption\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_FRE.pdf\">Immunization Record Request &#8211; French<\/a><\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized multiple-resource-gallery\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_KOR.pdf\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-kor-1.jpg\" alt=\"\" class=\"wp-image-13934\" style=\"object-fit:cover;width:554px;height:auto\" srcset=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-kor-1.jpg 600w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-kor-1-480x480.jpg 480w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-kor-1-150x150.jpg 150w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-kor-1-570x570.jpg 570w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-kor-1-500x500.jpg 500w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-kor-1-300x300.jpg 300w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-kor-1-100x100.jpg 100w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><figcaption class=\"wp-element-caption\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_KOR.pdf\">Immunization Record Request &#8211; Korean<\/a><\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized multiple-resource-gallery\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_RUS.pdf\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-rus.jpg\" alt=\"\" class=\"wp-image-13935\" style=\"object-fit:cover;width:554px;height:auto\" srcset=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-rus.jpg 600w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-rus-480x480.jpg 480w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-rus-150x150.jpg 150w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-rus-570x570.jpg 570w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-rus-500x500.jpg 500w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-rus-300x300.jpg 300w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-rus-100x100.jpg 100w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><figcaption class=\"wp-element-caption\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_RUS.pdf\" data-type=\"attachment\" data-id=\"10528\">Immunization Record Request &#8211; Russian<\/a><\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized multiple-resource-gallery\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_SPA.pdf\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-spa.jpg\" alt=\"\" class=\"wp-image-13936\" style=\"object-fit:cover;width:554px;height:auto\" srcset=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-spa.jpg 600w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-spa-480x480.jpg 480w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-spa-150x150.jpg 150w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-spa-570x570.jpg 570w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-spa-500x500.jpg 500w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-spa-300x300.jpg 300w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-spa-100x100.jpg 100w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><figcaption class=\"wp-element-caption\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_SPA.pdf\">Immunization Record Request &#8211; Spanish<\/a><\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized multiple-resource-gallery\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_VI.pdf\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-viet.jpg\" alt=\"\" class=\"wp-image-13937\" style=\"object-fit:cover;width:554px;height:auto\" srcset=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-viet.jpg 600w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-viet-480x480.jpg 480w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-viet-150x150.jpg 150w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-viet-570x570.jpg 570w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-viet-500x500.jpg 500w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-viet-300x300.jpg 300w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2024\/08\/record-request-viet-100x100.jpg 100w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><figcaption class=\"wp-element-caption\"><a href=\"\/wp-content\/uploads\/2026\/04\/v2_philavax-record-request-form_04-2026_VI.pdf\" data-type=\"attachment\" data-id=\"10528\">Immunization Record Request &#8211; Vietnamese<\/a><\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"Immunization Record Request - English Immunization Record Request - Chinese (Simplified) Immunization Record Request - French Immunization Record Request - Korean Immunization Record Request - Russian Immunization Record Request - Spanish Immunization Record Request - Vietnamese","protected":false},"author":23,"featured_media":13931,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","portfolio_category":[128],"portfolio_tag":[],"class_list":["post-10588","portfolio_page","type-portfolio_page","status-publish","has-post-thumbnail","hentry","portfolio_category-philavax"],"_links":{"self":[{"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/portfolio_page\/10588","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/portfolio_page"}],"about":[{"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/types\/portfolio_page"}],"author":[{"embeddable":true,"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/users\/23"}],"replies":[{"embeddable":true,"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/comments?post=10588"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/media\/13931"}],"wp:attachment":[{"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/media?parent=10588"}],"wp:term":[{"taxonomy":"portfolio_category","embeddable":true,"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/portfolio_category?post=10588"},{"taxonomy":"portfolio_tag","embeddable":true,"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/portfolio_tag?post=10588"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}