CAIR Forms

Don't know which forms to use? Read the Guide to CAIR User Forms!

Please Note: Our fax number and email address have changed! When faxing forms please use  (888) 436-8320 or email to CAIRHelpDesk@cdph.ca.gov.

CAIR User Forms (many of these forms will soon be replaced by an online process!)

CAIR Patient Forms

As of January 1, 2013, CAIR will be authorized to record Tuberculosis (TB) screening  test results in addition to immunizations.  TB test results will be treated the same as immunization information in that: 1) patients/parents must be disclosed that providers are permitted to share immunization information and TB test results with CAIR, and that 2) patients/parents have the right to opt-out of sharing their immunization information and TB test results with other CAIR users. 

Immunization Registry Notice to Patients and Parents (Disclosure Form)

 

Decline or Start Sharing Immunization Information Request Form

Permission to Share Your Child's School Immunization Information with CAIR (for Schools only)

 

Record Release Authorization Form