To request your own immunization record, you must be of legal age (18 years or older). If you are requesting the record of a minor child (under age 18), you must be the child’s parent or legal guardian at the time of the request.
Most healthcare providers in Utah use or are connected to the Utah Statewide Immunization Information System (USIIS). Contact your provider and ask if they can give you an Official USIIS Personal Utah Immunization Record. If your provider does not participate in USIIS they can print your immunization record from their own medical record system.
Easily access personal or family immunization records through the Docket mobile phone app. Through the Docket app you can review past immunization reports, track upcoming shots, and share official immunization reports.
All Utah local health departments use or are connected to Utah Statewide Immunization Information System (USIIS). Contact your local health department and ask them to print an Official USIIS Personal Utah Immunization Record for you.
You can request your own or children’s immunization record by submitting the USIIS Immunization Record Request form. This form must be filled out completely and notarized. You can submit your form using the information below:
Mail: Immunization / USIIS Program
P O Box 142012
Salt Lake City, UT 84114-2012
Fax: (801) 538-9440