NJIIS Forms
NJIIS Consent to Participate (English) Imm-32 Pdf Word
NJIIS Consent to Participate (Spanish) Imm-32A Pdf Word
NJIIS Enrollment Request for New Sites Imm-42 Pdf Word
NJIIS Enrollment Request for New Sites - Instructions Imm-42A Pdf Word
NJIIS User Enrollment and Training Request Imm-41 Pdf Word
NJIIS Change of User Security Authorization/Password Reset Imm-29 Pdf Word
Declination of Newborn Automatic Enrollment Imm-44 Pdf Word
Request for Change to NJIIS Immunization Record Imm-45 Pdf Word
Request for Copy of NJIIS Immunization Record Imm-46 Pdf Word
Registrant Withdrawal from NJIIS Imm-47 Pdf Word
Duplicate Patient Record Imm-40 Pdf Word
EHDIP Site Enrollment Request Imm-34 Pdf Word
EHDIP User Enrollment and Training Request Imm-35 Pdf Word
Universal Child Health Record Ch-14 Pdf Word
VAERS Web Submission VAERS Online