NEW JERSEY’ S IMMUNIZATION REGISTRY HELPS YOU



Appendix E

NJIIS Informational BrochureParent Take One

NJIIS

[COVER]

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 record for:

Make sure your child gets all the childhood shots on time to prevent diseases, such as:

• Healthcare ProvidersYour Child

• ParentDoctorssMeasles

• SchoolsMumps

• Day Care Child Care CentersHepatitis

• Healthcare InsurersCollegesPolio

• Public ChickenpoxHealth DepartmentsParents

• Adult RegistrantWhooping Coughs

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.

The New Jersey Immunization Information System (NJIIS) is a secure, computerized immunization registry that keeps track of all your child’s shots and public health information. The NJIIS also reminds your doctor when shots are due.

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 Rreminds 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 preventative 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 are can be automatically enrolled in the NJIIS, , unless you signed a written declination 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.

•

• 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 in my child’s record?

• Some requested changes to the NJIIS record can be made by an NJIIS participating doctor or clinic. (If your child’s information is incorrect and requires changes, or if you no longer wish to participate in the NJIIS, contact your birthing facility, healthcare provider, or local/state health department.)

For more information, ask your provider or local health department for details.

(NJ State Seal) (NJIIS Logo) (NJDHSS Logo)

• 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 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

and mail it to the address on the form.

• Any registrant 18 years of age or older may also

wWithdraw 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 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 Iimmunization Record is also available from your

NJIIS participating doctor or clinic.

How will institutions with authorized access used the NJIIS?

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

iIn accessing a registrant immunization history for the purposes of

dDetermining compliance with State immunization regulations.

• Health insurance plans use the NJIIS to determine how well

their covered beneficiaries are receiving preventative 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 preventative

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 sStatewide or on in a

specfic local 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

• The NJIIS forms are available online at

• 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 609-588-751220.

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