Center for Pediatric Medicine Immunization Record Request

Please complete the following patient information to request an immunization record. Please allow 2 business days for completion of request. To inquire about the status of previous request, please call (864) 220-7270 for more information.
If you would like the immunization record faxed or mailed, please include the information below. Otherwise, you may pick it up at the end of 2 business days at the Center for Pediatric Medicine.