Follow the steps to successfully fill out the opt-out form.

1. Click ‘Get Form’ button to obtain the opt-out form, which will open for editing.
2. Select the desired opt-out option. You can choose to retain demographic information while removing immunization records or remove all information related to IRIS.
3. Fill in the required information about the person opting out, including name, date of birth, and gender. Ensure to use the correct format for the date.
4. Provide information about the individual requesting the opt-out. If it is the same as the person opting out, check the appropriate box; if not, fill out the additional information fields.
5. Include your contact information, as this will be used for follow-up communication. Ensure that your email address is valid in case further clarification is needed.
6. Review the statement confirming that your request will mean the deletion of records from IRIS. Ensure that you understand the implications, especially regarding maintaining immunization records.
7. Sign and date the form. Ensure that your signature verifies the accuracy of the information provided and that you have the legal authority to submit this request.
8. Once you have completed the form, save any changes, and prepare to download or print a copy for your records, or share it as needed.

Complete your Idaho IRIS Opt Out form online today to manage your health information securely.