Enrollment Documents |
|
| Public Health Department | |
Individual User Agreement (08/09) |
|
Provider Site Enrollment Agreement (11/07) |
|
| Hospitals | |
Individual User Agreement (08/09) |
|
Provider Site Enrollment Agreement (11/07) |
|
| Private Provider Medical Facilities | |
Licensed - Individual User Agreement (08/09) |
|
Delegation of Authority - Individual User Agreement (09/08) |
|
Provider Site Enrollment Agreement (11/07) |
|
| Public/Private Schools & Daycare | |
Individual User Agreement (03/08) |
|
Provider Site Enrollment Agreement (11/07) |
|
School Immunization User Documents |
|
2010-2011 School Immunization Requirements Reference Chart (08/10) |
|
2010-2011 School Immunization Requirement FAQs (01/10) |
|
Updated School Nurse Training Manual (01/10) |
|
University Immunization Assessment (03/09) |
|
2010 Parent/Guardian Letter - Pertussis (01/10) |
|
2009 Pertussis Fact Sheet (02/09) |
|
2009 Spanish Parent/Guardian Letter - Pertussis (07/09) |
|
2009 Spanish Parent/Guardian Letter - Meningitis (07/09) |
|
2009-2010 Minimum Immunization Requirements (05/09) |
|
2008-2009 HPV Reporting Summary (05/09) |
|
2008-2009 HPV English (10/16/08) |
|
2008-2009 HPV Spanish (10/16/08) |
|
Meningococcal FAQ (08/09) |
Meningococcal - Memo to Superintendants (01/09) |
Meningococcal - Parent Information Letter (01/10) |
Promotional Documents |
|
CHIRP Provider Poster (2/08) |
|
Frequently Asked Questions (FAQ) (Updated 08/16/04) |
|
User Documents |
|
CHIRP Recommended System Settings (08/09) |
|
Mass Immunization Guide (MIM) (08/09) |
|
Reminder/Recall Manual (04/09) |
|
Vaccine Information Statements (VIS) |
|
CHIRP How To Manual (4/06) |
|
CHIRP VIEW-ONLY How To Manual (7/06) |
|
Inventory Count Sheet (4/06) |
|
Vaccine Trade Name to CHIRP Code Sheet (03/10) |
|
Authorization to Release Immunization Records (7/06) |
|
IWeb User Guide Ver 3.0 (11/05) |
|
Reporting of Immunizations and HIPAA Statement |
|
How To Handle Vaccine Inventory Discrepancies |
|
CHIRP Patient/Record Opt-Out Form (06/09) |
|
View-Only Training Guide (11/2005) |
|
Quick Reference Guide (11/2005) |
|
Security Policy (Revision Date 04/16/04) |
|
Anonymous Patient Policy (Revision Date 04/15/04) |
|
AutoDialer Documents |
|
How to extract AutoDialer file from CHIRP (03/06) |
|
AutoDialer Manual (version 8) |
|
AutoDialer Sample Script (03/06) |
|
Other Files |
|
Bar Code Fonts for the Shot Card & Consent Form |
|
CHIRP Icon |
|
Adobe Acrobat Reader 8.0 |
Individual User Removal Form (11/05) |