California Immunization Registry

CAIR Champion Submission Form

Are you an enthusiastic CAIR user?

Tell us about your experience using CAIR and we will contact you if you are selected to be featured as a CAIR Champion User on our website.

Please fill out this form and click “submit” when you’re done.

*(denotes required field)

Name: *

E-Mail Address: *

Phone Number: *

Credential: *

MA RN PHN PA MD or DO PharmD No degree Other

If Credential is Other, please specify:

Job Title: *

Name of your office or clinical practice: *

City: *

County: *

Alameda Alpine Amador Berkeley City Butte Calaveras Colusa Contra Costa Del Norte El Dorado Fresno Glenn Humboldt Imperial Inyo Kern Kings Lake Lassen Long Beach City Los Angeles Madera Marin Mariposa Mendocino Merced Modoc Mono Monterey Napa Orange Pasadena City Placer Plumas Riverside Sacramento San Benito San Bernardino San Diego San Francisco San Joaquin San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Shasta Sierra Siskiyou Solano Sonoma Stanislaus Sutter Tehama Trinity Tulare Tuolumne Ventura Yolo Yuba

How many patients get immunizations at your practice (specify per day or per week)?

How long have you used CAIR?

How long does it take you to enter a patient record in CAIR? Or update an existing one?

How does this compare to before using CAIR?

Did you think it would be easy before you started using CAIR?

How long did it take you to learn how to use CAIR?

Would you say CAIR is easy to use, even if you don’t have much experience with computers? Please explain.

Does CAIR make your work easier, faster, more efficient? If yes, how?

Is there anything that you can do now with CAIR that you couldn’t do before? (e.g., reminder-recall postcards, checking vaccine inventory, printing a yellow card).

What is your favorite part of using CAIR?

Would you ever want to go back to an office that did NOT use an immunization registry?

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