While you can choose to exclude your/your child’s immunization record from CIIS, you also can change your mind and rescind the opt-out.
How to rescind CIIS opt-out
1. When you ask to rescind a CIIS opt-out, your health care provider should:
- Direct you to a CIIS Rescind Opt-Out Form (English | Spanish | Vietnamese | Arabic)
- Attach one signed copy of the form to your/your child’s medical record in the location usually reserved for the immunization record, if applicable or practical for clinic work flow.
2. To complete the rescind opt-out, it's your responsibility to:
- Email, mail, or fax one signed copy of the CIIS Rescind Opt-Out Form to the CIIS office at the address on the bottom of the form.
- Keep one signed copy of the form for your records.