Download Virginia Immunization Information System

5. To return to the Forms screen, you may close the Acrobat Reader® by clicking the X in the
upper right corner of the Withdrawal of Consent Form window.
Release for Medical Information on Opt-Out Patient Form
To obtain release for Medical information, generate the request form by following these steps:
1. From anywhere in the ImmuNet application, click on the Forms button located at the top of
the screen.
2. On the Forms page, click on Release for Medical Information Form, which is underlined and
in blue text.
3. Once the report is generated, it will be displayed using Adobe Acrobat Reader®. Refer to
the Optimizing ImmuNet chapter in this manual for more information on Acrobat Reader®.
12.4
Maryland Immunization Registry
Reports and Forms