How do I request my COVID-19 Vaccine record from Illinois Department of Public Health?

Complete the Authorization to Release Immunization Records form and fax with your signature to (217) 524-0967 or email to [email protected]

https://dph.illinois.gov/sites/default/files/forms/authorization-release-immunization-records-030718.pdf

or

Register for Illinois Resident Immunization Portal (Vax Verify)

Home (illinois.gov)  

If you have any questions, please call the Illinois Department of Public Health Immunization Section at (217) 785-1455  

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1. How do I request medical records for my child?
2. How do I request records for another adult?
3. How long will it take to get my records?
4. In what format can I get my medical records?
5. Who is authorized to sign the release of information form?
6. How do I request my COVID-19 Vaccine record from Illinois Department of Public Health?