The Wyoming Department of Health (WDH) creates, receives, maintains, and transmits a large amount of information, including personally identifiable information and protected health information.
Scroll down to learn how to:
- Access your Immunization Information
- Disclose and Restrict Access to your Immunization Information
- Amend your Immunization Information
Requesting and Disclosing Immunization Information
Option 1: Request a Record from Your Healthcare Provider
Most healthcare providers in Wyoming use or are connected to the Wyoming Immunization Registry (WyIR). Please check with your provider to ask if they can give you a complete immunization record for you or your child. They can print it from the WyIR or from their own medical record system.
Option 2: Submit a Request to WDH
To request the disclosure of immunization information submit the WDH Authorization to Release Health Records form (English and Spanish) and Proof of Identity to:
Attn: Immunization Records Request
6101 Yellowstone Road, Suite 420
Cheyenne, WY 82002
Fax: (307) 777-7996
*Acceptable Forms of Proof of Identity
To restrict disclosure of immunization information:
Submit the Use and Disclosure Restriction (F-12) form and Proof of Identity*.
Amending your Immunization Record
Option 1: Request an Amendment through your Healthcare Provider
Most healthcare providers in Wyoming use or are connected to the Wyoming Immunization Registry (WyIR). Please check with your provider to ask if they can make an amendment either in the WyIR or their own medical record system.
Option 2: Request an amendment through the Department of Health
To request an amendment to immunization information, complete and submit the Amendment Request (F009) form, Proof of Identity*, and documentation that supports the amendment. WDH will act on the request no later than 60 calendar days upon receipt.
Encrypted Messages (reference if requesting record be sent via email)