Appendix E

NJIIS Informational Brochure

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Your Child’s Best Shot:

Ask Your Doctor About the Immunization Registry

The New Jersey Immunization Information System (NJIIS) is a secure, computerized immunization registry that keeps a permanent immunization record for:

Your Child

Doctors

Schools

Child Care Centers

Colleges

Parents

Adult Registrants

Make sure your child gets all the childhood shots on time to prevent diseases, such as measles, mumps, rubella, hepatitis, polio, chickenpox, and whooping cough by enrolling your child in NJIIS.

Ask your doctor to enroll your child… Today!

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Why should I enroll my child in NJIIS?

Prevents your child from getting unnecessary shots

Your doctors’ office can remind you by mail or telephone when your child is due for shots

Provides a permanent immunization record

Makes sure your child has all the shots needed to enroll in child care or school

Provides a permanent record of important preventive screening tests such as newborn hearing, lead, TB, and other health screenings

What are the benefits of NJIIS?

Immediate access to your child’s immunization record for providers and schools

No cost to you to participate

All information is secure and confidential

Keeps all your child’s immunization information in one place

Who will have access to my child’s record?

Only those persons who have been trained, signed a confidential agreement, and are authorized users can access medical and demographic information in the NJIIS.

Healthcare providers

Healthcare insurers

Licensed child care centers, school, or college nurses

Local and state health departments

How do I enroll my child in NJIIS?

Children born on or after January 1, 1998 are automatically enrolled in the NJIIS, unless you sign a Declination of Newborn Automatic Enrollment form.

Ask your provider for a Consent to Participate form if your child was born before January 1, 1998.

How do I notify NJIIS of medical or demographic changes that need to be made to my child’s record?

Some requested changes to the NJIIS record can be made by a NJIIS participating doctor or clinic.

Request for changes to the immunization record

can also be made anytime by completing and mailing a

“Request for Change to Immunization Record” form

which, is available at http://njiis.nj.gov/njiis to the address

on the form.

Can I withdraw my child from the NJIIS at a later time?

A parent or legal guardian of a minor child may submit a

“Registrant Withdrawal From NJIIS” form which, is available at

http://njiis.nj.gov/njiis and mail it to the address on the form.

Any registrant 18 years of age or older may also

withdraw from the NJIIS in the same manner as a parent

or legal guardian.

Can I get a copy of the NJIIS record to review or keep as my copy?

The parent or legal guardian of a minor child may submit a

“Request for Copy of the NJIIS Immunization Record” form which,

is available at http://njiis.nj.gov/njiis and mail it to the address on the form.

A registrant 18 years of age or older may also request a copy of the

NJIIS Immunization Record in the same manner as a parent or legal guardian.

A copy of the NJIIS Immunization Record is also available from your

NJIIS participating doctor or clinic.

How will institutions with authorized access use the NJIIS?

Child care centers, schools, and colleges use the NJIIS to assist them

in accessing a registrant immunization history for the purposes of

determining compliance with State immunization regulations.

Health insurance plans use the NJIIS to determine how well

their covered beneficiaries are receiving preventive heath services

and immunizations from their physicians.

Physicians, clinics, hospitals and other health care providers use

the NJIIS to help document past immunizations and other preventive

health screening tests done elswhere. Healthcare provideers also use the

NJIIS to help insure that receommended immunizations are given on schedule.

State and local health departments use the NJIIS to help determine

the protective level provided by vaccinations either Statewide or on a

specfic community or regional basis.

Where can I get more information or forms about the NJIIS?

N.J.S.A. 26:4-131 et. seq., particularly 26:4-134(i) and N.J.A.C. 8:57-3

The NJIIS webpage is at http://njiis.nj.gov/njiis

The NJIIS forms are available online at http://njiis.nj.gov/njiis/html/forms.html

The New Jersey Vaccine Preventable Disease Program mailing address is

PO Box 369, Trenton, New Jersey 08625-0369.

The New Jersey Vaccine Preventable Disease Program telephone number for other questions or regarding NJIIS operations is 609-588-7512.

NEW JERSEY’ S IMMUNIZATION REGISTRY HELPS YOU

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2008-06-09

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NJDHSS