Citywide Immunization Registry (CIR)
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The New York Citywide Immunization Registry (CIR) keeps immunization records for all children and adults who live in the city. CIR consolidates immunization information and shares it with health care providers, families and agencies concerned with public health.
You can register your practice online. For instructions on how to register your practice, see the registration guide (PDF).
If you think you may be registered and have forgotten your facility code, enter your information on the registration page to get your facility code. Update your practice’s registration information using the CIR Facility Manager any time.
NEW: Single Sign-on solution instructions. Newly registering and current CIR registered participants will register their individual work email to create a Single-Sign-on account through the CIR Authentication Server application. The Single-Sign-on account allows access to CIR applications, including the Facility Manager and Online Registry. Current Online Registry users will be directed to register with the CIR Authentication application.
Visit CIR Access for detailed instructions if you are an Immunizing Provider or Non-immunizing Provider (also for providers outside of New York City).
Reporting Immunizations Requirements
NYC health care providers report immunizations to the CIR as mandated by New York State Public Health Law and the NYC Health Code. Pediatric providers are required to report all immunizations administered to children aged 0 to 18 years. Vaccines administered to adults 19 years and older should be reported to the CIR with documented documented verbal or written patient consent.
To enable monitoring of equitable vaccine distribution, it is essential that vaccination providers gather and report accurate data on vaccine recipients’ characteristics, including race and ethnicity. Vaccine providers are encouraged to consult best practices for collecting and reporting race and ethnicity to the CIR.
The use of the CIR to verify the vaccination status of employees is not authorized under New York State law or the New York City Health Code. Employers with vaccination requirements must ask employees to provide documentation of vaccination.
New Yorkers may obtain their vaccination records from the CIR online or from their vaccination provider.
Benefits and Uses for CIR
- Order VFC Vaccines and Influenza Online.
- VFC Vaccine Inventory Requirement (PDF)
- Online Registry Vaccine Management: Ordering and Reporting (PDF): How to report vaccine inventory on hand and lot information.
- Receive ordering recommendations and track your VFC vaccine orders.
- Report and return spoiled or expired VFC vaccines.
- Produce up-to-date reports and influenza coverage reports (PDF).
- Print lists, letters and labels to recall or send reminders to patients who are due shots.
- Remove inactive patients from your MyList MOGE (Moved or Gone Elsewhere) (PDF).
- Refer children with asthma who are living with pests for a home inspection.
- Practice Reports and Measures
CIR Services
- How to Report to the CIR
- Batch Requests, Data Exchange, Record Corrections
- My Vaccine Record Announcement (PDF)
For more information on CIR, see Forms and Guides
Forms and Guides
Access Forms
For providers:
- Health Care Providers (PDF)
- Health Care Providers for Adults (PDF)
- Sample Consent (PDF)
Other languages: Español
- Sample Consent (PDF)
- Providers Outside of NYC and CIR read-only access forms (PDF)
- NYC Pharmacists-Independent Retail — not affiliated with a hospital or medical facility
For schools, child care facilities and camps:
Confidentiality and Consent Forms
- CIR Quick Facts Palm Card For Providers (PDF)
- Online Registry User Confidentiality Statement (PDF)
- Over 19 years of age sample consent form (PDF)
Other Languages: Español
Online Registry Guides
- How to Add Historical Immunizations (PDF)
- How to Correct Lot Number (PDF)
- How to Update Patient Information and Modify Immunization Details (PDF)
- Online CH205 Form:
- Online CH205 Form Guide (PDF)
- Online CH205 Form QuickGuide (PDF)
- Online Registry Quick Guide (PDF)
- Online Registry QuickGuide for Healthcare Providers serving adults (PDF)
- Online Registry Guide: Highlights for Health Care Providers Serving Adults (PDF)
- QuickGuide: Tools for Aggregate Reporting (PDF)
- Online Registry Read-Only Users QuickGuide (PDF)
- Full Guide (PDF)
- Coverage Reminder/Recall Guide (PDF)
- Online Registry VFC Vaccine Ordering Tool (PDF)
- VFC Reporting Vaccine Wastage and Returns Guide (PDF)
- VFC — VIM QuickGuide (PDF)
CIR Electronic Reporting Documents
- Meaningful Use of Electronic Health Records (EHRs) and the CIR
- Guides for reference:
- CIR HL7 Web Service 2.5.1 Integration Guide (PDF)
- CIR HL7 Onboarding Interface Summary (PDF)
- CIR HL7 QBP Full Guide (PDF)
- CIR HL7 VXU Test Cases Checklist (PDF)
- UPIF Specifications (PDF) updated April 1
- Vendor confidentiality agreement (PDF)
- Health care provider confidentiality agreement (PDF)
- Web File Repository Guide (WFR) (PDF)
- Update your vaccine codes list used to report to the CIR:
- CIR HL7 COVID-19 Reporting Requirements (PDF)
- CDC Maintained Vaccine Code List Contains updates and additional codes.
- IIS: NDC Lookup Crosswalk from CDC
- Note: Use CDC NDC sale codes in the previous link above for HL7 reporting, not NDC Use codes displayed in this crosswalk.
Contact Information
Mail:
New York City Department of Health and Mental Hygiene
Citywide Immunization Registry
42-09 28th Street, Fifth Floor, CN 21
Long Island City, NY 11101-4132
Phone: 347-396-2400
Fax: 347-396-2559
Email: cir@health.nyc.gov