How to Participate - Healthcare Provider Facility
Healthcare Provider Facility
- Complete and submit the USIIS Provider Facility Enrollment Agreement.
- Read the USIIS Confidentiality and Security Policy.
- Each user needing access to the system must complete, sign, and submit a USIIS User Confidentiality and Security Agreement.
Follow the instructions on the forms to submit your requests.
A Utah Department of Health staff member will contact you by phone or Email to confirm your request(s). Email USIIS Customer Support at firstname.lastname@example.org with any questions.
EHR System Interface Implementation Process for Providers
Healthcare providers may submit immunization information to USIIS by two methods- by using the online web application and/or by submitting data from their electronic health record (EHR) system via data interfaces. Please review the Developing an Interface to USIIS document for an overview of:
- USIIS interface options
- The process for an EHR vendor to develop an interface to USIIS
- The on-boarding process for Utah providers to implement an EHR-USIIS interface
Provider Immunization Record Requests
You can request a patient/client immunization record by submitting the USIIS Immunization Record Release form. This form must be filled out completely.
You can submit your form by Email: email@example.com
USIIS Customer Support
Your satisfaction is extremely important to us. Please submit support requests to our help desk at:
Or email us at firstname.lastname@example.org for other questions or to request USIIS training in-person or a webinar.