Vermont Vaccine Record Requests Logo

  • Vermont Vaccine Record Requests

    The Vermont Immunization Registry is a secure database of immunization records. Individuals may request a copy of their vaccine records. Guardians of minors may also make a request. Please note, this form is not intended for healthcare providers and other users of the Registry requiring access, please return to our website for more information.

  •
  •  / /
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Requesting vaccine records for a minor

    Please note if the child is 18 or older, they need to request records for themselves.

  • DO NOT USE THIS FORM to request records for the children in your care. This form is only for use by parents. You will need to apply for access to the Registry. Follow the steps on our website for more information.

  •  / /
  •  / /
  •  / /
  •  / /
  •  / /

  • Legal Medical Guardians of Adults

    Legal medical guardians may request vaccine records. These include guardians of minors and adults with medical decision-making powers. Please note: licensed childcare providers and school nurses are not included here. They should visit the Immunization Registry page for direct access.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  •  / /

  • Thank you for your request

    After you click submit, we will verify the identity of the patient(s) then do a search and respond with the record(s). Please note: some patients over the age of 30 may be missing vaccine records before 1995 in the system. The Immunization Registry went live in 2004, and some older records have not been entered.

  • How to Navigate Encrypted Emails

    (You cannot access encrypted emails on a smartphone)

  • Click the "read message" text in the encrypted email.

    This will open a new tab in your browser, prompting you to log in to your email.

  • You will then receive a second email with a passcode, which you will use to access your file(s).

    If you are not able to access your file(s), contact us and we can send you copies in the mail if you provide us with your mailing address.
  • Should be Empty: