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UTAH DEPARTMENT OF HEALTH IMMUNIZATION PROGRAM/USIIS PO Box 142001, Salt Lake City, UT 84114-2001 Phone #: (801) 538-9450 Fax#: (801) 538-9440 immunize utah.gov RELEASE OF IMMUNIZATION RECORD PLEASE.

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How to fill out the Usiis online

This guide provides step-by-step instructions for users on how to efficiently fill out the Usiis form online. By following these directions, you can ensure that your immunization record request is processed smoothly and accurately.

Follow the steps to complete your Usiis form online.

  1. Click ‘Get Form’ to access the Usiis document and prepare it for filling out.
  2. In the identifying information section, enter your last and first name, and date of birth. If you are filling this out for a child, also include their name and date of birth as required.
  3. For each individual listed, provide the necessary details, including the mother’s maiden name for identification.
  4. Select your preferred method to receive the immunization record by marking one of the options: E-mail, Fax, or Mail. Include the relevant information for the chosen method.
  5. Complete the consent section by signing your name as the parent or legal guardian and including the date of signing.
  6. Finally, provide your phone number for any necessary follow-ups regarding your request. After confirming all details, save changes, download, print, or share the form as needed.

Complete your request for immunization records online today to ensure timely processing.

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Federally funded health centers provide a variety of health care services, including vaccination. You can go to a health center even if you don't have health insurance and some may offer sliding fees based on your income. Use the Health Center Finder to find a list of health centers near you.

From your healthcare provider. ... Through the Docket mobile app. From the Utah Department of Health's Utah Statewide Immunization Information System (USIIS) ... From the Salt Lake County Health Department.

Check with your doctor or public health clinic. Keep in mind that vaccination records are maintained at doctor's office for a limited number of years. Contact your state's health department. Some states have registries (Immunization Information Systems) that include adult vaccines.

From your healthcare provider. ... Through the Docket mobile app. From the Utah Department of Health's Utah Statewide Immunization Information System (USIIS) ... From the Salt Lake County Health Department.

Check with your doctor or public health clinic. Keep in mind that vaccination records are maintained at doctor's office for a limited number of years. Contact your state's health department. Some states have registries (Immunization Information Systems) that include adult vaccines.

The Utah Statewide Immunization Information System (USIIS) is a secure, confidential immunization information system that helps healthcare providers, schools, child care centers and Utah residents maintain consolidated immunization histories.

For a medical exemption from the required immunizations, the student's legally responsible individual must provide to the school a completed Utah vaccination exemption form AND a written statement signed by a licensed healthcare provider stating that, due to the physical condition of the student/child, administration ...

Request a Record Individuals, parents and legal guardians can get their CIR immunization record and also check which vaccines they may need. You can search for your or your child's immunization record by visiting My Vaccine Record. To learn how to access records, click on that site's Accessing Records tab.

Your state's immunization registry may have most, if not all, of your child's records. Contact your state's registry to request an official copy. Please be aware that the process for requesting records can vary greatly across states and can take some time to complete.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232