Due to scheduled maintenance by the Arizona Department of Administration to the state datacenter, azdhs.gov and related services will be unavailable from 10:00 p.m. Friday, November 15, until 10:00 a.m. Saturday, November 16. Thank you for your patience.
Arizona State Immunization Information System (ASIIS)
Please read the first five headings below and click on the link to the document that best describes where you work.
To enroll with the ASIIS program, fill out the Enrollment Application and User Agreement, located in each form below. These documents must be mailed in or faxed.
- People who work in a school*
- People who work in a daycare center*
- CPS employees
- People who work in a vaccine provider’s office that USE the free state-supplied VFC vaccine
- People who work in a vaccine provider’s office who DO NOT use the free state-supplied VFC vaccine
*Please fax back all three pages!
Note: Information provided in PDF files, unless otherwise indicated.