Immunization forms Department of Public Health and Environment 2025

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As part of a larger CDC Vaccine Confidence grant, the California Department of Public Health (CDPH) Immunization Branch (IZB) intends to award a total of $1.93 million in three categories for projects which seek to increase vaccine confidence among under-vaccinated and hard-to-reach California communities.
Doctors and health clinics keep records of the vaccines they give to your child. Keep in mind that they may save records for only a few years.
MyVaxIndiana is a user-friendly concept that allows Hoosiers to directly access immunization records from any computer through the use of a personal identification number (PIN). Local health departments and healthcare providers will be the primary access point to obtain PINs.
Ask your doctor, pharmacist or other vaccine provider for an immunization record form or download and use this form [4 pages]. Bring this record with you to health visits, and ask your vaccine provider to sign and date the form for each vaccine you receive.
Go to My Record Health Summary and select the Immunizations tab. You can see the immunizations youve received and the dates on which you received them. Click the immunization name to learn more. If your immunizations are not up to date, please reach out to your clinic directly to have your information updated.