You can request a record for yourself or your child. CIIS may not contain all records.
First, call the CIIS help desk at 303-692-2437, option 2, or 1-888-611-9918, option 1, and provide the first and last name and the date of birth for the person whose records you're requesting. If the record is in CIIS, you'll then need to email, fax or mail the Request to Release Immunization Record form, along with a clear copy of your driver’s license or other secure and verifiable identification, to our office. The form must be notarized.
Colorado Department of Public Health and Environment
Colorado Immunization Information System (DCEED-IMM-A3)
4300 Cherry Creek Drive South
Denver, CO 80246
| Request to Release Immunization RecordRussian | Spanish | Vietnamese
- Incomplete forms, forms without proper ID or forms that aren't notarized won't be accepted.
- Patient immunization records can be securely transmitted to the requester via fax or email. Please note: Due to our involvement in COVID-19 response activities, mail is currently not an option. When sending immunization records to the requester via secure email, the recipient will receive instructions on how to open the email message.