Va. Admin. Code tit. 12, agency 5, ch. 115, form FORMS (12VAC5-115)

Current through Register Vol. 41, No. 8, December 2, 2024

Form - FORMS (12VAC5-115)

Administrator Information, VIISADM (eff. 10/2012)

Electronic Data Exchange with VIIS (eff. 10/2012)

Information Systems Security Access Agreement (eff. 10/2012)

Organization Information, VIISORG (eff. 10/2012)

Memorandum of Agreement between Virginia Department of Health/Division of Immunization (VDH/DOI) and VIIS Organization Interested in Data Exchange (8/2011)

Virginia Immunization Information System (VIIS) Opt-In of VIIS (reviewed 6/2015)

Virginia Immunization Information System (VIIS) Opt-Out of VIIS (reviewed 6/2015)

VIIS Security Policy and User Confidentiality Agreement (rev. 5/2019)

VIIS User Acknowledgement Page

VIIS User Signature Page

Va. Admin. Code tit. 12, agency 5, ch. 115, form FORMS (12VAC5-115)

Derived From Virginia Register Volume 31, Issue 22, eff. 7/31/2015.

Statutory Authority: § 32.1-46.01 of the Code of Virginia.