MDHHS-6310 (Rev. 3-26)
MDHHS-6310, MICHIGAN CARE IMPROVEMENT REGISTRY (MCIR)
IMMUNIZATION NOTICE
Michigan Department of Health and Human Services (MDHHS)
Division of Immunization
(Revised 3-26)
The Michigan Care Improvement Registry (MCIR) provides a place for your or your child’s immunization
history to be stored confidentially. MCIR is used as a tool and can help providers accurately determine if a
vaccine is needed based on the recorded immunization history. MCIR collects and combines immunization
information for Michigan residents of all ages. Information in MCIR is confidential and all MCIR users are
held to strict security and confidentiality requirements.
Having immunization data in MCIR can:
• Prevent harmful delays in medical care.
• Prevent over or under vaccination for a person (i.e. missing a vaccine or getting a repeated dose).
• Reduce healthcare burden by providing an accurate immunization history for providers to base their
recommendations.
You have the right to object to having your or your child’s immunization(s) reported to MCIR, which is
otherwise required by MCL 333.9209. Remember, if immunization information is not stored in MCIR, your
provider might not have access to a complete immunization history, and it will be essential for you to keep
your and/or your child’s immunization record for future medical visits, schooling or possible employment
opportunities.
An immunization history can be printed by a healthcare provider. For those 18 years or older, you can print
your immunization record yourself from the secure MCIR Public Portal.
By signing this form, I acknowledge that I have received the form.
Signature
Date
The Michigan Department of Health and Human Services (MDHHS) does not discriminate against any
individual or group on the basis of race, national origin, color, sex, disability, religion, age, height, weight,
familial status, partisan considerations, or genetic information. Sex-based discrimination includes, but is
not limited to, discrimination based on sexual orientation, gender identity, gender expression, sex
characteristics, and pregnancy.
