Virginia Immunization Information System (VIIS)
Immunization Record Request Form
Please provide complete information below to receive an immunization record. A VIIS representative will contact you within 24 to 48 hours to discuss your request.
To assists in your immunization record request being processed promptly:
- Only submit one immunization record request per client.
- Be available and responsive to calls and/or emails.
- Make sure telephone numbers and emails are correct before submitting request.
VIIS Record Request