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U.S. Coast Guard Academy Regional Clinic fax number
(860) 701-6665
Immunization Department
Used for: Submitting immunization records and related medical documents to the USCGA Regional Clinic
Fax destination details
- Department
- Immunization Department
- Purpose
- Submitting immunization records and related medical documents to the USCGA Regional Clinic
- Form
- Immunization Record Form — Immunization Record Form (Direct Commission Officer / Officer Candidate / Selected Reserve Direct Commission)
- Address
- CG Academy Regional Clinic, USCGA, 15 Mohegan Ave., New London, CT 06320
- Voice phone
- 860-701-6155
- Website
- Visit organization website
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Fax the completed Immunization Record Form and lab reports to 860-701-6665. Make two photocopies of the form and lab reports; mail the original to USCGA Regional Clinic, Attn: Immunization Department, USCGA, 15 Mohegan Ave., New London, CT 06320. Use blue/black ink and print clearly; include name and SSN on each page.
Official form instructions are published as a downloadable file on the organization's website.
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