Required Immunizations

Immunization History

AO-273 CHIRP Release Form

Religious Objection Form

Medical Exemption Form

My VaxIndiana to access vaccine records. For questions about using the portal email or call toll-free at 1-888-227-4439.**

• Where to Find Vaccines
  • Use our local health department to set up a vaccine visit, primary care provider, or even some local pharmacies.
  • If you do not have insurance there are a few local providers under The Vaccines for Children (VFC) program. VFS is a federal program that provides vaccines at no cost to children who might not otherwise be vaccinated because of an inability to pay. To find a local provider under the VFC program visit:
    • Health: Immunization: Where can I get my vaccines?
• Provision of Vaccine Information:
  • Please see important information about immunizations through the IDOH below:
  • https://www.in.gov/health/files/6th-Grade-Immunization-Letter-English.pdf

 Rx Authorization Form

Over the Counter Authorization Form