Individual User Agreement - Medical Credentials

Individual User Agreement DOA - NO Medical Credentials

Individual User Agreement - School Nurse

Provider Site Enrollment - One per facility

User Removal Form

Authorization to Release Records

CHIRP Online Manual

Signature Form Page 1

Signature Form Page 2

CHIRP How To Guide

Barcode Font Installer


IMPORTANT NOTICE: ALL INDIANA IMMUNIZATION REGISTRY SYSTEM USERS


To ensure the fastest and most accurate service, ISDH strongly recommends that all form fields,
other than signature fields, are completed in PRINT USING ONLY UPPERCASE LETTERING.

Thank you for your cooperation.