Authorization to Release Immunization Records - Illinois

Authorization to Release Immunization Records is a legal document that was released by the Illinois Department of Public Health - a government authority operating within Illinois.

FAQ

Q: What is an authorization to release immunization records?
A: An authorization to release immunization records is a document that allows someone to obtain and share your immunization records.

Q: Why would someone need an authorization to release immunization records?
A: Someone may need an authorization to release immunization records in order to access your vaccination history for various reasons, such as school enrollment, employment, or healthcare purposes.

Q: How can I obtain an authorization to release immunization records in Illinois?
A: You can obtain an authorization to release immunization records in Illinois by contacting your healthcare provider or the organization that requires the records.

Q: What information is typically included in an authorization to release immunization records?
A: An authorization to release immunization records usually includes your personal information, the purpose of the release, and the specific dates or time period for which the records are being authorized.

Q: Do I need to sign an authorization to release immunization records in person?
A: The requirements for signing an authorization to release immunization records may vary, but in many cases, you may need to sign the document in person or provide a signed and notarized copy.

Q: Can I revoke an authorization to release immunization records?
A: In most cases, you can revoke an authorization to release immunization records by notifying the healthcare provider or organization in writing, but it is recommended to check the specific requirements and procedures for revoking the authorization.

Q: How long is an authorization to release immunization records valid?
A: The validity period of an authorization to release immunization records may vary, but it is usually for a specific period of time or until the purpose of the release is fulfilled.

Q: Are there any fees associated with obtaining an authorization to release immunization records?
A: There may be fees associated with obtaining an authorization to release immunization records, such as administrative or processing fees. It is advisable to inquire about any applicable fees when requesting the document.