How can I withdraw/remove my information from New Hampshire Immunization Information System (NHIIS)?

  • Download the Withdraw & Remove Information from the New Hampshire Immunization Registry form by clicking on the form name.
  • Fill up the details and give it to your current Primary Care Provider (PCP). Your PCP will complete the form, sign it and fax the form to the NHIIS.
  • If you don’t have a current PCP, your previous PCP can also fill up the form and send it to NHIIS.
  • Please note, you must sign the Choose not to Participate in the New Hampshire Immunization Registry (Opt-Out) form and give it to your PCP to prevent any future information coming to NHIIS. Please have a discussion with your PCP on the benefits of sharing data with NHIIS. Additionally, you will unable to retrieve your immunization record from the patient portal if you withdraw your immunization data with NHIIS.

How can I opt-out of sharing my immunization records with NHIIS?

If you wish to opt-out of sharing your immunization records with NHIIS, then please complete the Choose not to Participate in the New Hampshire Immunization Registry (Opt-Out) form and give it to your current Primary Care Provider (PCP). 

Remember, if you opt out of sharing your immunization records with NHIIS, you will unable to retrieve your immunization records from the online patient portal. 
 

Can I get a different type of vaccine for my booster dose?

Yes. CDC’s recommendations now allow for this type of mix and match dosing for booster shots. Individuals with questions, should speak with their doctor about booster doses.