Utah Statewide Immunization Information System (USIIS) is a free, secure, and confidential, web-based system. Its main purpose is to keep track of immunization records for all Utah residents, consolidating vaccination history from different doctors, clinics, and health programs into one central, reliable record. This helps ensure that children and adults get the right vaccines on time and helps healthcare providers and schools quickly verify immunization status.

Use the form below to submit your USIIS support questions. A confirmation page will appear after submission.

Please note: We strive to process all requests efficiently. Please allow 5-7 business days for a response. To prevent delays, please submit only one request per issue.

Date:

Y-M-D H:M:S

PRIVACY NOTICE

The information requested in this form will be used solely for the purpose of fulfilling your support request. The information provided will only be used by DHHS and, if necessary, by contractors who are part of the technical team that manages the service. Without this information, we will not be able to service your request. We do not sell your personal information. This data is part of the record series GRS-1720, which provides more information on how the data are used and the retention schedule.

Are you an individual or provider?

What do you want to know?

What is Docket used for?

How do I sign up and/or login?

Docket said I have a duplicate that needs to be merged.

I can't find my records in the Docket app. What should I do?

How do I refresh my Docket account with new data?

How do I share the PDF of my immunization record using the Docket app?

Something else

reset

What do you want to know?

How do I obtain a school vaccine exemption certificate for my child?

Where do I complete the 'Online Immunization Education Module'?

How do I access/download a completed exemption certificate?

How do I change the 'parent/guardian' name on the exemption certificate?

Something else

reset

After the corrections are made to your immunization report, do you want a copy of the revised report sent to you?

Yes

reset

What is your relationship to the subject of this record?

I am requesting my own record.

I am the parent/legal guardian requesting the record of a minor.

reset

Click here to view Docket FAQs

Please complete the form below if you need further assistance.

Do you need your immunization record sooner?

Due to recent funding changes, our support team is understaffed and experiencing longer-than-usual turnaround times.

You can quickly and easily access your personal immunization record through the Docket mobile app. You can also access back-to-school forms, update contact information, add family to a shared account, and more.

Click here to learn how to obtain a school vaccine exemption certificate

Please complete the form below if you need further assistance.

Click here to view the Online Immunization Education Module

Please complete the form below if you need further assistance.

Click here to view USIIS Exemptions

Please complete the form below if you need further assistance.

How do I change the 'parent/guardian' name on an exemption certificate?

If you need to change/update a parent's name, or if the student's name is showing on the "parent/guardian name" field on the exemption certificate, please follow the instructions below.

1. Use your UtahID credentials to login to https://id.utah.gov. The exemption form pulls the parent/guardian information directly from the UtahID account.
2. Under the 'Account Info' tab, update the account's name fields.
3. Review the updated exemption form at https://usiisapps.utah.gov/exemptions.

More UtahID information can be found at idhelp.utah.gov.

I want to change the name on record because...

* must provide value

There is a typo in my name

Missing middle name

Marriage

Court-ordered name change

Adoption

None of these

reset

Note: Any changes to your personal information will only update USIIS records.

Contact your healthcare provider/s if you need to update their medical record system.

Note: USIIS cannot manually add or update immunization records.

Healthcare providers who participate in USIIS can submit electronic records and add childhood or out-of-state vaccinations. While participation in USIIS is not mandatory, most providers do. Individuals can also contact their local health department for assistance.

Note: USIIS can only release a minor's immunization records to the parent/guardian listed on file.

If you are not in the child's record, or if you are not sure, proceed with one of the following:

Submit documentation (e.g., birth certificate or court-ordered guardianship papers) showing your legal relationship. We will use this to add your name to the record and process your request.
Have the currently listed parent/guardian submit this request.
Request a copy of the records from your child's healthcare provider and request that they update the parent/guardian contact information in USIIS.

Provide the misspelled name to help our record search:

Provide the former name to help our record search:

Important! Review the following information before submitting your request.

We do not have the ability to resolve most login/password issues.
The USIIS portal uses Utahid for multi-factor authentication.
If you have an existing Utahid account, you'll need to ensure that your USIIS account is created using an email associated with your Utahid account.
If you do not have a Utahid account, create one at the 'Utahid account' link below.
- After your Utahid account is created, you can request user access to USIIS by following the 'USIIS User Request' button below.
Once your USIIS account has been created in USIIS, we no longer handle the Utahid account login information and cannot help with login issues for your Utahid account.
If you no longer have access to the primary (or recovery) email address associated with your Utahid account, you will need to create a new Utahid account.
- It is recommended you add a recovery email address that will not be deactivated if you change employment. You can also add a phone number to your account to receive the multi-factor authentication code.
If you are having trouble accessing USIIS, use and bookmark our new URL: usiisapps.utah.gov

Please complete the form below if you need further assistance.

First name*:		Last name*:
Middle name:	Other names:		Maiden name:
Date of birth*: month	day	year	Gender*:

Street address*:	City*:	ZIP code*:	State*:
Phone number*:		Email*:

Parent/legal guardian first name*:	Last name*:		Maiden name (if applicable):
Phone number*:		Email*:

Race:	Ethnicity:
	Gender:

Provider name*:		USIIS provider ID:
If you need to look up your facility's USIIS ID, click HERE.
Submitter first name*:		Submitter last name*:
Telephone*:	Ext:	Email*:

Which EHR interface is this regarding?

	Patient 1	Patient 2
Patient ID/MRN:
USIIS ID:
First name:
Middle name:
Last name:
Birthdate:
Gender:

Patient ID/MRN:		USIIS ID:
Patient's first name:		Last name:
Middle name:		Date of birth:
What issue are you experiencing?*

Patient MRN:	Patient USIIS ID:
Patient's first name:	Last name:
Middle name:	Date of birth:
Vaccine type/series:	Vaccine administration date:
What issue are you experiencing?*

Physician name:	Date:
Physician signature:	Physician identification:
Physician signature:	Upload a photo of your work badge or another form of role verification.

Facility name*:		Facility USIIS ID:
If you need to look up your facility's USIIS ID, click HERE.
Facility phone*:	Ext:	Email*:
Submitter first name*:		Submitter last name*:

	Student 1	Student 2 (if applicable)
USIIS ID (if known):
First name:
Middle name:
Last name:
Gender:
Birthdate:

What is your support request? Be specific and include any details needed to confirm identity and resolve your issue.*

* must provide value

Expand

Any other information you want to include with this request:

Expand

Upload a government-issued photo ID.*

We will not be able to make changes or share immunization information without an ID.

(Selfies and other non-official forms of ID are not valid)

Upload other documentation.

(Immunization record, court documents, etc., if applicable)

We have an electronic form for that now!

Click here to request access to USIIS

Don't forget to upload your photo ID.

Government-issued identification is required to release your immunization report and to change/update your record.

You will be able to submit this form once a photo ID has been uploaded.

Assigned to:

Status:

Resolved date:

* must provide value

M-D-Y

USIIS comments:

Expand

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.