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.
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