Medical & Vaccination
Department of Health patients may request copies of their medical records. To request these records by mail, fill out the Medical Records Request Form with your signature and date of birth. Please include a copy of your picture ID and specifics on the medical records being requested.
Please note: there will be a small fee to obtain a copy of medical records including the cost of postage if mailed.
- $10 for records that are four or more pages
- $2 for records that are three or fewer pages
Mail requests to:
Allen County Department of Health
4813 New Haven Ave.
Fort Wayne, IN 46803
Call 260.449.7504 with questions or for more information.
The Indiana Department of Health maintains a vaccination registry system known as CHIRP (Children and Hoosier’s Immunization Registry Program) to collect, manage and share vaccine data with registered medical providers in Indiana. Providers can include private medical facilities, local health departments, hospitals, schools and pharmacies.
The MyVaxIndiana Immunization Portal allows patients to access vaccine records or a dependent’s vaccine record in the CHIRP system from any computer.
To access your vaccination record, follow these steps:
Obtain a Patient ID Number
You will need a Patient ID Number (PIN) to access a record using MyVaxIndiana. A PIN can be requested from your medical provider, local health department and many other vaccine providers. Call 260.449.7514 to request a PIN from the Department of Health.
Get Your Record
Select Search from the menu bar to access your record. Enter your information, PIN, & review the record release statement. Select the Get MyVaxIndiana button to lookup the record requested.
Print, Fax, Download
You can print, download or request a copy to be faxed. Please note: The printed copy, downloadable copy and fax are all State of Indiana Official Immunization Records.
Visit MyVaxIndiana for Vaccine Records