DPH: Release of Official Immunization Records

Release of Official Immunization Records by the Immunization Registry
to Health Care Providers

According to 19a-7h-4 of the Regulations of Connecticut State Agencies:

  • Health Care Providers intending to administer vaccines to a child who need to know a child's immunization history for purposes of determining whether additional doses of vaccine are needed and health care providers who need to officially document a child's immunization status to meet state day care or school immunization entry requirements and who have signed a written statement on a form provided by the department stating that they have read section 19a-7h of the Connecticut General Statutes and sections 19a-7h-1 through 19a-7h-5 inclusive of the Regulations of Connecticut State Agencies and will comply with them shall be allowed to obtain information from the immunization registry about the immunization status of children in it.
  • Health care providers shall provide the immunization registry with sufficient identifying information to identify an individual child and shall be provided a complete record of that child's immunization status, including name and date of each vaccine dose given or permanently exempted, and name and birthdate of the child. 
  • The immunization registry shall provide the immunization record either via a secure computer connection at the time of the query, via fax to a telephone number given by the health care provider, via telephone followed by mailing or faxing of a written or printed copy, by written or printed copy, or by other such methods determined by the commissioner to assure that the report is being made to a health care provider who has agreed in writing to comply with Connecticut General Statutes section 19a-7h and sections 19a-7h-1 through 19a-7h-5 inclusive of the Regulations of Connecticut State Agencies. Such written statements shall be renewed every twenty-four months and shall be kept on file for seven years in the immunization program of the department.

If you are a health care provider intending to administer vaccines to a child who needs to know a child's immunization history for purposes of determining whether additional doses of vaccine are needed, please call the State Immunization Program at 860-509-7929 with the following information:

o   child’s first name and last name

o   child’s date of birth

o   your facility’s name and town

o   your phone number and fax number

 

If you are a health care provider who needs to officially document a child's immunization status to meet state day care or school immunization entry requirements, please send a fax request to the State Immunization Program at 860-509-8370 with the following information:

o   child’s first name and last name

o   child’s date of birth

o   your facility’s name and town

o   your phone number and fax number

 

You may also mail a written request to the State Immunization Program at:

State of CT, Dept. Public Health

Immunization Program
410 Capitol Ave., MS #11MUN
Hartford, CT 06134

 

Or, you may contact your local IAP Coordinator. 

IAP Coordinators 5/14 (pdf)

IAP Map 7/13 (pdf)

 

The Official Immunization Record includes the child's immunization status as reported to the CIRTS program, including name and date of each vaccine dose given or permanently exempted, and name and birthdate of the child. Currently, the CIRTS program tracks children up to two years of age. Starting in late 2012, we will begin to bring providers online and we will be able to capture immunizations beyond age two.

 

Important Note:  These records from the immunization registry do not include booster doses.  Providers will need to add the booster doses to these records.

 

Click here to view an example of the official immunization record produced by CIRTS. (link to pdf)

 




Content Last Modified on 5/19/2014 3:42:38 PM