Immunization info system

I have received information about the New Jersey Immunization Information System (NJIIS) and understand that the purpose of this program is to help remind me when my/my child’s immunizations are due and to keep a central record of my/my child’s immunization history.

I understand that the medical information in the NJIIS may be shared with authorized health care providers, schools, licensed childcare centers, colleges, public health agencies, health insurance companies, and others as permitted by New Jersey Law at N.J.S.A. 26:4-131 et seq. and rules at N.J.A.C. 8:57-3. There is no cost to participate in this program.

I understand that I can get a copy of my/my child’s record from my primary health care provider, my local health department, or the New Jersey Department of Health (NJDOH). The NJDOH Vaccine Preventable Disease participates in this program. Program may be contacted at website or telephone number listed below:

P.O. Box 369
Trenton, NJ 08625-0369
Phone: (609) 826-4860
Fax: (609) 826-4866
www.njiis.nj.gov