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DCF. New Jersey Gov. address on January 19. Well over 300 saidTwo times is enough to getswabbed,and got vaccinated, saidDavid Totaro, Bayadaschief government affairs officer. Phil Murphy this morning unveiled a new executive order requiring all workers in the state's health care and high-risk congregate living facilities - which include nursing homes, veterans homes, and prisons - to be vaccinated and boosted, with no test-out option. Our journalism needs your support. Source: Executive Order No. Acute, pediatric, inpatient rehabilitation, and psychiatric
"We have no plans at this time to expand this to beyond what we just discussed today, which is health care workers and congregant living facilities," he said. Residential detox, short-term and long-term residential substance abuse disorder treatment facilities. Medical Information from healthcare professionals on symptoms, when to seek medical attention, and proper steps to take if exposed to COVID-19. This requirement will help increase protection against the spread of COVID-19, including the highly transmissible Delta variant, to vulnerable populations who have been hardest hit during the pandemic.While reaching our statewide vaccination goal has so far dampened the impact of the Delta variant in New Jersey, some of our most vulnerable populations remain at risk of serious illness or death from COVID-19 primarily due to exposure to unvaccinated individuals, said GovernorMurphy. Discrimination, Disability & Sexual Harassment, "Are You Really Going To Wear That To Work?" Physicians offices not regulated by Medicare do not need to comply. Health care workers must get their booster shot by April 11 or within three weeks of becoming eligible, whichever is later, according to the governors latest executive order, number 290. Corrections officers and others who work in high risk congregate care settings must be fully inoculated by May 11 or within three weeks of becoming eligible for a booster shot. Licenses for Exports to Are You Ready for the UPC? Lindy Washburn is a senior health care reporter for NorthJersey.com. Butmosthospital systemsand many nursing homeshave imposed their own vaccinate-or-out"policies. As of August 15th, 2022, the State is no longer requiring that unvaccinated workers in school districts and child care settings undergo routine COVID-19 testing requirements. Among 15,000employees atVirtuasfive hospitals and other locations,the vaccination rate last week was 96%, with most others having obtained exemptions. Employees who choose testing will likely not have automatic insurance coverage for the cost of the tests, either. On Friday, the hockey team announced that fans ages 12 and older will be required to show proof of vaccination against COVID-19 or a recent negative test result for entry into Enterprise Center. Some Republican legislators have criticized Murphy's latest executive order, saying it will exacerbate worker shortages in settings such as hospitals and nursing homes. The new federal rule is expected to induce thousands more in New Jersey and potentially tens of thousands of health care workers nationwide to receive the shots. Unless otherwise noted, attorneys are not certified by the Texas Board of Legal Specialization, nor can NLR attest to the accuracy of any notation of Legal Specialization or other Professional Credentials. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of Advance Local. Community Rules apply to all content you upload or otherwise submit to this site. But there will be a handful who choose not to get vaccinated.. Information on testing, vaccines, and help finding appointments near you. Murphy orders vaccine, mask mandates at NJ day care facilities, Son of Glen Ridge officer who died of COVID gets birthday wish of receiving vaccine, Demand for booster shots is low so far in New Jersey, Your California Privacy Rights / Privacy Policy. Holy Name plans to fully comply" with the federal mandate. to ensure compliance with New Jersey COVID-19 regulations. Andrew Cuomo, one of Murphy's frequent collaborators on Covid protocols, mandated vaccines for the state's transportation workers Monday morning, just days after issuing a similar mandate affecting state hospital workers. "It Ain't Over 'Til It's Over" - Use Of A PTO Introduces Trademark Decisions and Proceedings Search Tool, FDA Issues Draft Guidance on Labeling of Plant-Based Milk Alternatives, Government Wins $43 Million Verdict in False Claims Act Case, BETO Will Host March 23 Listening Session on Next Billion-Ton Report. How Modern Manufacturing Plants Can Protect Against Ransomware, FTC Will Host May 23, 2023, Workshop on Recyclable Claims and the Appellate Court Affirmed An Order Denying A Beneficiarys Request For An Overview of Why Class Action Privacy Lawsuits May Have Just Gotten Gold Dome Report Legislative Day 26 (2023). On Wednesday, Murphy announced that health care workers in New Jersey and anybody else who works in "high-risk congregate settings," such as long-term care and correctional facilities, will. Related:Murphy orders vaccine, mask mandates at NJ day care facilities. All rights reserved. Desperate Times, Desperate Measuring Cups FTC Brings Enforcement Trending in Telehealth: February 20 26, 2023, IRS Sets Deadline For Using 401(K) Plan Forfeitures, How Generative AI Generates Legal Issues in the Games Industry, DOJ Announces New Nationwide Voluntary Self-Disclosure Policy. California Law May Limit Hospitals Ability to Adopt The Joint Ankura CTIX FLASH Update - February 28, 2023, Ankura Cyber Threat Investigations and Expert Services. All New Jersey health care workers will need to be fully vaccinated against COVID-19 and receive booster shots or face termination, under an order Gov. Now he's fired. Governor Murphy Signs Executive Order Strengthening COVID-19 Vaccination Requirements for Workers in Health Care and Congregate Settings and Requiring COVID-19 Booster Doses PO Box 360 Trenton, NJ 08625-0360 For Release: January 19, 2022 Judith M. Persichilli Commissioner For Further Information Contact: Office of Communications (609) 984-7160 Clinic-based settings such as ambulatory care, urgent care clinics, dialysis centers, federally qualified health centers, family planning sites and opioid treatment programs. according to the state, includes "having completed their
As a bonus to Bond's February 28 Business in 2023 webinar, Bond labor and employment attorney Adam P. Mastroleo provided a timely update on the New York State Department of Health COVID-19 vaccine mandate for healthcare workers, which an Onondaga County Supreme Court . provided to employees who request and receive an exemption because
Blocked merger:National battle over hospital mergers focuses on Hackensack and Englewood proposal. Michigan PFAS Challenge Arguments Briefed For The Court. Gov. Led by Missouri and Nebraska, the suit filed in U.S. District Court in Missouri includes Alaska, Arkansas, Iowa, Kansas, New Hampshire, North Dakota, South Dakota and Wyoming. GT's The Performance Review Episode 19: Is the Fight Over AB 51 5 Reasons Community Associations Need an Attorney That Specializes in New York Proposes Regulatory Review and Approval of Material Health CMS Issues Long-Awaiting Medicare Advantage RADV Final Rule, Preventing the Use of Cryptocurrencies to Evade Sanctions. first dose of the primary series of a vaccine and submit proof of
and developmental disabilities (IDD) and traumatic brain injury
Besides hospitals and nursing homes, medical facilities that will be affected by the new requirement include home health agencies, hospices,ambulatory surgery centers,communityhealth andmental health centers,dialysisfacilities, psychiatric residential treatment facilitiesand outpatient rehab centers. Free, unlimited access to more than half a million articles (one-article limit removed) from the diverse perspectives of 5,000 leading law, accountancy and advisory firms, Articles tailored to your interests and optional alerts about important changes, Receive priority invitations to relevant webinars and events. Tuesday, August 17, 2021. For employers already struggling with labor shortages, any loss of staff due to the vaccine requirement will exacerbate a difficult situation. In August, Murphy gave the same employees until Sept. 7 to get fully vaccinated against COVID-19. What Is The Difference Between A Friendship And An Employment Relationship? Josh Bakan. Some states have laws and ethical rules regarding solicitation and advertisement practices by attorneys and/or other professionals. The deadline for submitting objections is now March 3, 2023. Health care workers who remain unvaccinated have until Jan. 27 to get their first dose and must complete their primary vaccination series by Feb. 28. Licensed home health agencies and registered health care service firms operating within the state. Aone-on-one, non-judgmental approach byatrusted medical professionalhas proved most successful in encouraging hesitant staff members to be vaccinated, most employers said. A Division of NBCUniversal. More Local News to Love Start today for 50% off Expires 3/6/23, Elizabeth Llorente | NJ Advance Media for NJ.com. homes; Intermediate care facilities, including the state developmental
illness; Certified day programs for individuals with IDD and TBI;
No attorney-client or confidential relationship is formed by the transmission of information between you and the National Law Review website or any of the law firms, attorneys or other professionals or organizations who include content on the National Law Review website. All workers in health care facilities and high-risk congregate settings are required to be up to date with their COVID-19 vaccinations, including having received the first booster dose for which they are eligible. NEW JERSEY New Jersey issued rules and guidelines this weekend for those who may need the COVID-19 vaccine to go to work. Health care workers will have . Let us know what those fears are,andtalked through it.. Governor Sheila Oliver, Improving Health Through Leadership and Innovation, Governor Murphy Signs Executive Order Strengthening COVID-19 Vaccination Requirements for Workers in Health Care and Congregate Settings and Requiring COVID-19 Booster Doses, Acute, pediatric, inpatient rehabilitation, and psychiatric hospitals, including specialty hospitals, and ambulatory surgical centers, Long-term care facilities, including the state veterans homes, Intermediate care facilities, including the state developmental centers, Residential detox, short-term and long-term residential substance abuse disorder treatment facilities, Clinic-based settings like ambulatory care, urgent care clinics, dialysis centers, Federally Qualified Health Centers, family planning sites, and opioid treatment programs, Community-based health care settings including Program of All-inclusive Care for the Elderly, and pediatric and adult medical day care programs, Licensed home health agencies and registered health care service firms operating within the state, Secure care facilities and residential community homes operated by the Juvenile Justice Commission, Licensed community residences for individuals with intellectual and developmental disabilities (IDD) and traumatic brain injury (TBI), Licensed community residences for adults with mental illness, Certified day programs for individuals with IDD and TBI; and, Group homes and psychiatric community homes licensed by DCF, Other individuals working in the covered setting, including individuals providing operational, custodial, or administrative support. By way of background, on August 6, 2021, Governor Murphy signed EO 252, which required
At Holy Name Medical Center in Teaneck, about 150of 4,500employees had opted for regular testing rather than vaccination. family planning sites, and opioid treatment programs; Community-based healthcare settings including Program of
The user is on notice that neither the State of NJ site nor its operators review any of the services, information and/or content from anything that may be linked to the State of NJ site for any reason. COVID-19 Vaccines Call (COVID-19 Vaccination and Testing): 1-855-568-0545 (10a-6p, M-F; 10a-4p, Sa) Call (Medical COVID-19 Questions): 1-800-962-1253 (24/7) Select a Language Updated Booster Shots: Updated (bivalent) vaccines and boosters are now available to anyone ages six months and up at many vaccine sites. Gov. Danielle Kays Discusses White Castle Ruling Under BIPA In Four Leading Media Outlets, Navigating the Cross-Border Highway: A Roadmap for Canada-U.S. Estate Planning and Administration, Luxembourg Tax and Transfer Pricing Update 2023, Dealing With Workplace Conflict - The Increasingly Important Role Of ADR, The Evolving Nature Of Employment Disputes And How ADR Offers An Effective Means Of Resolving Issues, Forced Labor Due Diligence Supply Chain Tracing Requirements To Comply With UFLPA, Withhold Release Orders, And More, Mediating Employment Disputes: Between A Clock And A Hard Case, The Uyghur Forced Labor Prevention Act & The Future Of Forced Labor Enforcement, Taking The Temperature Of Life Sciences Investors, National Healthcare Facility Rx Diversion Summit - Dont Let Drugs Bring You Down: The Importance Of An Effective Drug Diversion Program, Mondaq Ltd 1994 - 2023. The. All New Jersey health care workers will now need to be fully vaccinated against COVID-19 and receive their booster shots or risk being fired, Gov. President Joe Biden's announcement of vaccinationmandateswith atesting optionfor health care facilities that receive federal Medicare and Medicaid funding has helped. New Jersey Gov. 264; Executive Order No. Health care facilities and high-risk congregate settings (Covered Settings) must implement a workplace policy requiring covered workers to either (1) provide adequate proof that they have been fully vaccinated or (2) submit to COVID-19 testing at a minimum of one to two times weekly. Proof of ones fully vaccinated status may be substantiated by the following documents: The CDC COVID-19 Vaccination Card issued to the vaccine recipient by the vaccination site, or an electronic or physical copy of the same; An official record from the New Jersey Immunization Information System (NJIIS) or other state immunization registry; A record from a health care providers portal/medical record system on official letterhead signed by a licensed physician, nurse practitioner, physicians assistant, registered nurse or pharmacist; A military immunization or health record from the United States Armed Forces; or. hospitals, including specialty hospitals, and ambulatory surgical
A couple hundredpeoplehave declined the vaccinations,Matsingersaid. Maritza Beniquez, an emergency room nurse at University Hospital in Newark, was the first person in New Jersey to receive the COVID-19 vaccine. But those who didn't would receive testing at least weekly. On January 19, 2022, Governor Philip D. Murphy signed Executive Order (EO) 283, which requires that healthcare workers and those at high-risk congregate settings be fully vaccinated against COVID-19, including receipt of a booster shot, or have their employment terminated. At Holy Name,an infectious disease specialistwent through the list of unvaccinated employees and called each onebefore the Sept. 7 state mandate, said Acito, the executive vice president. 2023 Advance Local Media LLC. Currently, 98% ofSt. Josephs6,000employees are vaccinated, and 155 have exemptions, she said. Whenillness leads to staff absences,the strain on the health systemcan limit patients access to care. New Jersey COVID-19 Information Hub New Jersey COVID-19 Information Hub Call (COVID-19 Vaccination and Testing): 1-855-568-0545 (10a-6p, M-F; 10a-4p, Sa) Call (Medical COVID-19 Questions): 1-800-962-1253 (24/7) Select a Language Search for COVID-19 and Reopening Information Here Testing Vaccine Info Quarantine Info COVID Alert NJ belief. Since ChatGPT became available to the public at large in November 2022, employers have been wondering, and asking their employment lawyers, "What kind of policies should we be putting in place around the use of ChatGPT in the workplace?". POPULAR ARTICLES ON: Employment and HR from United States. Deadlines vary, with most over the next six weeks. Supreme Court Clarifies the Meaning Salary Basis Under Federal OIRA Calls for Feedback on Recommendations to Encourage More FTCs One-Two Punch on Data Tracking and Health Privacy. Order 252 takes effect on September 7, 2021, at which time any covered workers that have not provided adequate proof that they are fully vaccinated must submit to weekly or twice weekly testing on an ongoing basis until fully vaccinated. Any Covered Setting that fails to comply with Order 252 by September 7, 2021, may be subject to penalties. announced Nov. 4 by the federal Centers for Medicare and Medicaid Services, Lifelong disability from prenatal injury led doctor to refuse COVID shot. January 19, 2022 2:19pm. If theres not enough staff to take care of people, people end up not being taken care of, he said. The Future of Stablecoins, Crypto Staking and Custody of Digital White House Climate and Environmental Justice Screening Tool. COVID-19 vaccine exemptions are only available for medical reasons or "deeply held" religious beliefs, Murphy said Wednesday. Use of and/or registration on any portion of this site constitutes acceptance of our User Agreement, Privacy Policy and Cookie Statement, and Your Privacy Choices and Rights (each updated 1/26/2023). The National Law Review - National Law Forum LLC 3 Grant Square #141 Hinsdale, IL 60521 Telephone (708) 357-3317 ortollfree(877)357-3317. Counsels employers on day-to-day workplace issues, including You are responsible for reading, understanding and agreeing to the National Law Review's (NLRs) and the National Law Forum LLC's Terms of Use and Privacy Policy before using the National Law Review website. Phil Murphy, New Jersey's governor, speaks at a news conference after touring the New Jersey Convention and Exposition Center Covid-19 vaccination site in Edison, New Jersey on January 15, 2021. But in recent weeks, the Food and Drug Administration authorized a second booster for people ages 50 and over and those who are immunocompromised. 271; Executive Order No. Workers in those settings will soon lose the choice to opt out of the requirement by undergoing weekly testing. All Rights Reserved. On February 14, 2023, OFCCP announced that it was again extending the deadline for employers to file objections to the disclosure of their EEO-1 data in response to a FOIA request from the Center for Investigative Reporting. 2 min read. The dire consequences once predicted forNew York that National Guard troops would be deployed to fill in suddenly vacant positions, elective surgeries delayedand emergency admissions deflected havelargelyfailed to materialize there. Please subscribe today to NJ.com. Someof the people in non-clinicaljobshave just left thehealth careindustryaltogether.. On August 6, 2021, New Jersey Governor Philip Murphy signedExecutive Order 252(Order 252) requiring health care and high-risk congregate settings to maintain a policy requiring workers to either provide adequate proof of vaccination or submit to weekly COVID-19 testing. Murphy nonetheless encouraged those who are eligible for the second booster to get it. Testing hundreds of employees weekly can alsobe a significant expense and one that employers wouldprefer to avoid, they said. The above documents must also state (1) that the administered vaccine is a COVID-19 vaccine authorized for Emergency Use Authorization in the United States or the World Health Organization and (2) the administration date for each dose. Overview: At Memorial Sloan Kettering (MSK), we're not only changing the way we treat cancer, but also the way the world thinks about it. of a disability, medical condition, or sincerely held religious
Last year, those who work forhospitals, nursing homes and home health care were required to get a flu shot, under a law signed in January 2020. At Valley Health System in Ridgewood, 96% of the staff had chosen to bevaccinated as of Wednesday. Unvaccinated covered workers must undergo screening tests at a minimum of one to two times per week. A Covered Setting may choose to provide or administer testing on site or to require workers to submit test results. Murphy's latest measure comes less than a week after he issued a statement recommending that vaccinated and unvaccinated state residents wear masks in public indoor settings where there is an elevated chance of contracting the coronavirus. In New York, Gov. On January 19, 2022, Governor Philip D. Murphy signed Executive Order (EO) 283, which requires
So has the White House's push for other employers to require vaccination. about your specific circumstances. We need this to enable us to match you with other users from the same organisation. Governor Murphy issued Executive Order 252, requiring employers in covered healthcare and other high risk congregate settings, including hospitals, correctional . DENISE MERNA DADIKA is a Member of the Firm in the Employment, Labor & Workforce Management practice, in the firm's Newark office. Can Nonprecedential Decisions Be Relied Upon? Good News for American Businesses: H1-B Denial Rates Plummet Under USCIS Extends Comment Period for Proposed Fee Increases, OFCCP Rescinds Trump-Era Religious Exemption Rule. Lindy Washburn is a senior health care reporter for NorthJersey.com. Sign Up for our free News Alerts - All the latest articles on your chosen topics condensed into a free bi-weekly email. But individualcalls from a clinician whoworked with them and answered questions haveprovedto be far more effective,Totaro said. -- CNBC's Nate Rattner contributed to this reporting. Waters of the United States and Winston Churchill. Its Here The New National Cybersecurity Strategy. In 2020, the background reporting agency in this case disclosed to an employer a conviction of an individual from 2011 who had applied for a job. J Med Ethics. It is recommended, but not required, that workers receive any additional booster doses for which they are eligible under CDC recommendations. We would expect that percentage to tick upwards as the deadline comes closer, said Andrew Aronson, CEO of the Health Care Association of New Jersey, the long-term care industry trade group. White House Reviewing Proposed Regulations on Reinstated Superfund You Dont Need a Machine to Predict What the FTC Might Do About Is It Compensable? The content and links on www.NatLawReview.comare intended for general information purposes only. analysis. We took a friendlier, less shameful approach, she said. Those eligible for a booster shot and haven't received it yet have until the following deadlines to get it: Feb. 28 for health care workers and March 30 for employees in congregate settings. Every industry is competingfor the same individuals, said Virtuas Matsinger. By Joey Fox, January 19 2022 12:43 pm. 302. It is up to the hospitals and other employers to impose disciplinary action including the possibility of termination against non-compliant workers. If you purchase a product or register for an account through one of the links on our site, we may receive compensation. Vaccine mandate:Lifelong disability from prenatal injury led doctor to refuse COVID shot. All Rights Reserved. Following the CDCs vaccine guidance, Order 252 recognizes the importance of heightened mitigation protocols in certain congregate and health care settings, and it takes additional steps to address the significant risk of spread and the vulnerability of the populations served in those settings. 2023 www.northjersey.com. "The omicron tsunami
From almost 400 who chose the testing option during theweek of Sept. 7, the numberhas dropped to150, said Michele Acito, executive vice president. For purposes of this EO, healthcare and high-risk congregate
EXPOSED: Does a New NCLC Ex Parte Filing Expose Their True Agenda to Little Weight Given to Conclusory Expert Declaration That Repeats IPR Department of Homeland Security Provides Information Related to EB-5 PTAB: Vidal Refocuses Guidance On Fintiv Factors And Discretionary Aluminum Is Now A Hot Topic In Supply Chain And Trade. Phil Murphy issued an executive order Wednesday that will require employees in health care settings or "high-risk congregate" environments to receive COVID-19 vaccinations and booster shots. facilities' covered workers subject to the Biden
Alexandria Adkins contributed to this article. So You're Green Prove It or Be Prosecuted: ACCC Sweep Finds 57 California Court of Appeal Addresses When Violations are Willful or Whats new in Belgium on the employment front? The systems human resources department called 800 team members to remind them that theyhadnot been vaccinated and would be separated from the organizations if they did not comply,in advance of the Oct. 1 deadline for first shots or a Johnson & Johnson vaccine,according toan article byRobert C. Garrett,theCEO, called Lessons on a successful COVID-19 mandate.. Importantly, EO 283 provides that accommodations must be
be fully vaccinated against COVID-19, including receipt of a
At Atlantic Health System,87% ofthe 18,000 employeesare vaccinated. All rights reserved. Represents employers in state and federal courts and before administrative agencies on issues involving harassment, discrimination, retaliation, breach of employment contracts, wage and hour compliance, tort claims, and restrictive covenants. guide to the subject matter. primary series and any booster shots for which they are
Employees in certain state and private healthcare facilities and other high-risk congregate settings in New Jersey must either be vaccinated or undergo regular testing according to a new mandate. Biden administration's vaccine mandate for healthcare and
Cookie Settings/Do Not Sell My Personal Information. Employers Beware: Non-Disparagement and Confidentiality Covenants in Consultation Paper On Review of Corporate Governance Norms For A High Californias War On The Fast-Food Industry Continues. On January 19, 2022, Governor Philip D. Murphy signed Executive Order (EO) 283, which requires that healthcare workers and those at high-risk congregate settings be fully vaccinated against COVID-19, including receipt of a booster shot, or have their employment terminated.Currently, New Jersey allows unvaccinated healthcare workers to bypass receiving the COVID-19 vaccine and, instead, undergo . Covered workers in health care facilities and high-risk congregate settings are currently required to be up to date with their COVID-19 vaccinations, including the first booster dose for which they are eligible. A docket mobile phone application record or any state specific application that produces a digital health record. Until September 1st, 2022, all new state contracts, solicitations for a state contract, extensions or renewals of an existing state contract, and exercise of an option on an existing state contract to include a clause requiring workers employed through those contracts that enter, work at, or provide services in any state agency location to show they are fully vaccinated, or they will be required to undergo weekly testing. substance abuse disorder treatment facilities; Clinic-based settings like ambulatory care, urgent care
We're treating cancer, one patient at a time. surely place more pressure on employees to receive the vaccine, is
testing at minimum one to two times per week.". By using our website you agree to our use of cookies as set out in our Privacy Policy. Covered workersencompass employees, both full and part-time, contractors, and other individuals working in health care facilities and high-risk congregate settings, including individuals providing operational or custodial services or administrative support. 2023 Advance Local Media LLC. The lives lost . DC Circuit to Disputes Ancillary to Patent Matters: You Cant Sit Consumer Fraud PFAS Cases Continue To Rise. By working together and pushing forward with innovation and discovery, we're driving excellence and improving outcomes. BREAKING DOWN THE PRIVACY ACT REVIEW REPORT #3: Removal of The Small White House Releases National Cybersecurity Strategy, Illinois High Court Rules Per-Scan Damages Can Be Awarded Under BIPA, Grassley-Wyden Bill Aims to Fix Broken Tax Whistleblower Law, Lessons Learned From 2022s Trade Secret Verdicts, Mass. New Jersey Mandates COVID-19 Vaccination or Weekly Testing for Workers in Health Care and Congregate Settings. And120 staffers at Virtua Health "elected to discontinue their employment" at that systems five South Jersey hospitals and other centers, the systems president said about 1% of employees. Corrections officers and others who work in high risk congregate care settings must be fully inoculated by May 11 or within three weeks of becoming eligible for a booster shot. We must have the state, local and federal governments issue mandatory COVID-19 vaccination mandates. Workers can show proof of full vaccination by presenting: the CDC COVID-19 vaccination card issued at the vaccination site, or an electronic or physical copy; the official record from the New Jersey Immunization Information System (NJISS) or other immunization register; a record from a health care provider's portal or medical record system on official letterhead signed by a licensed physician, nurse practitioner, physician's assistance, registered nurse, or pharmacist; a military immunization or health record from the United States Armed Forces; or.