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Live Well San Diego Website
 
Click on the logo above to learn more about Live Well San Diego an initiative of the County of San Diego to improve health, safety and well-being for all residents.
 
 

SDIR/CAIR
San Diego Regional Immunization Registry

User Forms & Statements
 
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.


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.

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:


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

 

 

 

 

 

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!
more...

 
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