As a licensed daycare facility in Arkansas, how can I access and view the Immunization Network for Children (INC) registry?

Download and print the following form, Application to Access (WORD), and return it to the address listed on the form via e-mail, fax or mail. After the Immunization Section receives your application, they will contact you with a user name and password. Once you receive your personal user name and password, the following documents will direct you to accessing the registry and offer a tutorial on locating an immunization record.

1) Accessing the Registry (WORD)

2) Finding Clients (WORD)

If you have trouble downloading the form, or if you have questions, please feel free to contact the helpdesk at 1-800-574-4040 or via e-mail at immunization.helpdeskregistry@arkansas.gov

Where do I get information on vaccine needed for international travel?

When are flu shots needed and where do I get them?

As a physician, where do I get information on the Vaccines For Children Program?

How do I get a medical exemption for my child to not get an immunization?

A physician statement outlining medical reasons for an exemption of a specific immunization is to be submitted to the Medical Director of the Communicable Disease/Immunization Section with the exemption form.

Please call Erma Breedlove at 501-661-2438 or e-mail to request the exemption form.

PLEASE NOTE: The form requires a signature and seal of a Notary Public.

Complete and mail to:
Arkansas Department of Health,
4815 West Markham - Mailslot 48
Little Rock, AR 72205.
The Medical Director will decide whether to grant the medical exemption based on the CDC guidelines.

PLEASE NOTE: INCOMPLETE FORMS WILL BE RETURNED FOR COMPLETION.
A NEW EXEMPTION FORM MUST BE COMPLETED EVERY SCHOOL YEAR.

How do I get a religious or philosophical exemption for my child to not get any immunizations?

Religious exemptions can be granted for children "on the grounds that such immunization conflicts with the religious tenets and practices of a recognized church or religious denomination of which said parent or guardian is an adherent or member" in accordance with Arkansas Statute.

Please call Erma Breedlove at 501-661-2438 or e-mail to request the exemption form.

PLEASE NOTE: The form requires a signature and seal of a Notary Public.

Complete and mail to:
Arkansas Department of Health,
4815 West Markham - Mailslot 48
Little Rock, AR 72205.

PLEASE NOTE: INCOMPLETE FORMS WILL BE RETURNED FOR COMPLETION.
A NEW EXEMPTION FORM MUST BE COMPLETED EVERY SCHOOL YEAR.

There is a medical exemption for nursing home employees for flu vaccination. A physician statement outlining medical reasons for an exemption of a specific immunization is to be submitted to the Medical Director of the Communicable Disease/Immunization Section with the exemption form.

Please call Erma Breedlove at 501-661-2438 or e-mail to request the exemption form.

PLEASE NOTE: The form requires a signature and seal of a Notary Public.

Complete and mail to:
Arkansas Department of Health,
4815 West Markham - Mailslot 48
Little Rock, AR 72205.

The Medical Director will decide whether to grant the medical exemption based on the CDC guidelines.

PLEASE NOTE: INCOMPLETE FORMS WILL BE RETURNED FOR COMPLETION.
A NEW EXEMPTION FORM MUST BE COMPLETED EVERY YEAR.

How can I volunteer to improve immunization rates in my area?

Where may I get a copy of a shot record?

Where do I get information on the immunization rates for Arkansas?

What are the immunization requirements for colleges, schools and daycare?

Please download, print and complete the survey form requirements for your particular organization:

• College/University (PDF)
• Schools (kindergarten and 7th grade) (PDF)
• Daycare (PDF)

Please return the completed form to:
Arkansas Department of Health,
4815 West Markham - Mailslot 48
Little Rock, AR 72205.

If you have any questions regarding the form or the requirements, please call Erma Breedlove at 501-661-2438 or e-mail for assistance.