The following forms are available to view or download:

SDIR/CAIR Disclosure Statement

• English (July 2013)
• Spanish (July 2013)
  
  Note: SDIR/CAIR Disclosure Form includes the New TB law effective as of January 1, 2013.
  
  For more information on the new TB Law, please click on link below.
  
  http://cairweb.org/tb

SDIR/CAIR Decline to Share Form
Have patient/parent/guardian sign, then file in patient chart.

• English (May 2014)
• Spanish (May 2014)
• bilingual 2-sided (May 2014)

SDIR/CAIR Application Security Acknowledgement Form
(replaces SDIR/CAIR User Confidentiality Oath Form)

Keep Your Immunization Records Online!
Click here for more information.

Download Forms to Submit:
IZ148es (bilingual 2-sided)


SDIR/CAIR Request for CIR
Use this for requesting a copy of you or your child's CA Immunization Record.

• English
• Spanish
• bilingual 2-sided

Change-IZ-Type-or-Date-Request-Form.pdf
Use this form for requesting changes to immunization data.

How are we doing?
We would like to hear from you! If you have recently received service from any of our Registry staff, you are invited to complete our SDIR Customer Feedback Form:

• PDF Form - Download, complete, scan and email to sdir@sdiz.org or fax to Albert Lopez at (619) 692-6640:
  SDIR Customer Feedback Form

Click on the link below to return to the SDIR login page:

• www.sdir.org
  

 

 

Online Materials
Ordering Page

Click here to order SDIR
Materials Online

How are we doing?
If you recently received service from any of our Registry staff, we'd like to hear from you!
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