The following forms are available to view or download:
CAIR-SDIR Disclosure
Statement
CAIR-SDIR Decline to Share Form
Have patient/parent/guardian sign, then file in patient chart.
CAIR-SDIR Application Security Acknowledgement Form
(replaces CAIR-SDIR User Confidentiality Oath Form)
Keep Your Immunization Records Online!
Download Forms to Submit:
IZ148e (English)
IZ148s (Spanish)
and...
Once you have submitted your Immunization Records:
For security reasons, this feature is
temporarily unavailable. Please call our Help Desk at (619)
692-5656 for additional information.
View Your Records Online! Click below for Instructions in English or Spanish:
CAIR-SDIR Request for CIR
Use this for requesting a copy of you or your child's CA Immunization Record.
Change-IZ-Type-or-Date-Request-Form.pdf
Use this form for requesting changes to immunization data.
"If
You Have a Bug"
Use this form to report application
"bugs".
User Suggestion Form
Use this form to give us your suggestions.
SDIR Materials Order Form
Use this form to order all your SDIR materials, then return
form via fax or email as instructed on form:
How are we doing?
If you have recently received service from any of our Registry staff,
you are invited to download and complete our Customer
Satisfaction Form and fax it to our Customer Service
Manager at (619) 692-6619.
Click on the link below to return to the SDIR login
page:
