Caregiver Form For Covid Vaccine In Utah
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.
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FAQ
All Utah local health departments use or are connected to Utah Statewide Immunization Information System (USIIS). Contact your local health department and ask them to print an Official USIIS Personal Utah Immunization Record for you.
Proof of immunization is a requirement for attendance at any school (kindergarten – 12th grade), Head Start, or childcare facility in Utah. An exemption may be granted for medical, religious, or personal reasons.
Everyone ages 6 months and older should get a 2024–2025 COVID-19 vaccine. The COVID-19 vaccine helps protect you from severe illness, hospitalization, and death.
California removed its personal and religious exemption option in 2015. Parent/guradian must complete an online educational module to receive a non-medical exemption. Connecticut removed its religious exemption option in 2021.
The Utah Department of Health (UDOH) Utah Statewide Immunization Information System (USIIS) is a software application that enables healthcare providers to enter and submit immunization records for persons in Utah. USIIS maintains immunization histories, consolidating information submitted across providers.
All Utah local health departments use or are connected to Utah Statewide Immunization Information System (USIIS). Contact your local health department and ask them to print an Official USIIS Personal Utah Immunization Record for you.
You can request an immunization record for yourself or your child from the Colorado Immunization Information System (CIIS). Immunization records from CIIS may not be complete. CIIS immunization records include what has been reported to and entered into CIIS.
Students claiming an exemption from the required vaccinations must have their legally responsible individual complete the online education module, or receive in-person consultation at a local health department, AND provide a copy of the completed form to the school.
