For Public

Looking for Immunization Records?

To request a vaccination record, fill out the following information here 

  • Full name
  • Date of birth
  • Maiden name (if applicable)
  • Fax number
  • Mailing address

Opt-Out

Parents and guardians should be notified before their children’s records are entered into ImmuNet. If you do not wish to share your or your child’s immunization record with providers in ImmuNet, you must complete an Opt-Out form here.

You can also change your mind and allow your/your child’s records made available to your/your child’s provider(s) by completing a Rescind Opt-Out form here.

Please mail or fax the completed form. Do not email the completed form as it places you at risk for exposing your sensitive information. Emailed forms will not be accepted unless you are able to use a secure email service.​​

Contact Us
Please visit our contact us page located here.