Get The Connecticut Immunization Registry And Tracking System (cirts) - Cga Ct

Filling out the Connecticut Immunization Registry and Tracking System (CIRTS) form is a vital step in ensuring your child's immunization records are accurately maintained. This guide will walk you through each section of the form, providing clear instructions to assist you in the online submission process.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to access the CIRTS online form and open it for completion.
2. Begin by entering your child’s birth details, including the baby's date of birth, name, and sex, by circling either 'Boy' or 'Girl' as applicable.
3. Input the parent's date of birth and provide your signature, indicating whether you want your child enrolled in CIRTS by selecting 'YES' or 'NO'.
4. Fill in the contact details for the baby's doctor, including their name, the name of the clinic or practice, and the town where the clinic is located.
5. Provide an emergency contact name and phone number, along with your own home, cell, and work phone numbers.
6. Complete the address section, ensuring to include the street address, town, state, and zip code.
7. Double-check that all required fields are filled accurately and completely to avoid delays in processing.
8. Finally, save your changes, download the form, print it for your records, or share it with the necessary parties as needed.

Complete the CIRTS documents online today to ensure your child's immunization records are properly tracked.