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By entering the above information, I authorize Integral Healthcare Foundation, it's personnel and contractors to contact my vaccination provider to research, validate my COVID vaccination record and prepare the proof of COVID vaccination on my behalf.(Required)
By entering the above information, I certify that the information is accurate, correct to my best knowledge(Required)
On behalf of the organization listed above, I delegate/outsource Integral Healthcare Foundation, its personnel, and contractors to provide vaccination verification requested by individuals who requested it.