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    Immunization Branch
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    1100 West 49th Street
    Austin, Texas 78756

    Phone: (512) 776-3711
    Fax: (512) 458-7288

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ImmTrac FAQs

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ImmTrac Frequently Asked Questions (FAQs)

What is ImmTrac?
How does ImmTrac work?
Why have an immunization registry?
How is the confidentiality of ImmTrac data maintained?
Who has access to ImmTrac information?
How do I enroll my child/myself/my family in ImmTrac?
How can I get a copy of my or my child’s shot record?
How do I remove my child/myself/my family from ImmTrac?
How can ImmTrac help providers of immunizations?
Who can import immunization data into ImmTrac?
What is the history of ImmTrac?


What is ImmTrac?

ImmTrac, the Texas Immunization Registry, is a no-cost service offered by the Texas Department of State Health Services (DSHS). It is a secure and confidential registry available to all Texans. ImmTrac safely consolidates and stores immunization information electronically in one centralized system. Texas law requires written consent for ImmTrac participation and limits access to individuals who have been authorized by the Texas Immunization Registry. 

How does ImmTrac work?

When a health-care provider administers an immunization, and you consent to registering this information, the statewide immunization registry, known as ImmTrac, is notified. ImmTrac keeps client-specific electronic immunization records. Some information contained in the registry is the client's name, date-of-birth, address, the name of the parent or guardian, information on the shots given, and who gave them. Optional (but helpful) information stored in ImmTrac is the client's social security number and mother's maiden name. This optional information helps prevent duplicate records from being created.

Why have an immunization registry?

  • The American Academy of Pediatrics, in its role as an advocate for children, supports public and private cooperation in the development of immunization registry systems when they benefit children.
  • The CDC's National Vaccine Advisory Committee October 1994 Conclusion regarding state-based immunization systems: "An immunization information system is essential for reaching and sustaining coverage levels.”
  • The immunization schedule is confusing. Parents often do not realize that their child is due for an immunization.
  • Many children are over-immunized because parents cannot locate shot records.
  • The Texas Department of State Health Services (DSHS) will be able to identify areas in Texas with low immunization rates and target those communities with special outreach projects without conducting expensive surveys.

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How is the confidentiality of ImmTrac data maintained?

  • Adding your or your child's records requires your written consent.
  • Computer access is limited to providers of immunizations or those with a legal mandate to review records.
  • Each user of the system is given a secure user name and password.
  • Demographic information is not released with immunization histories.

Who has access to ImmTrac information?

ImmTrac immunization information is available only to persons authorized by law to see it. Only doctors, schools, child-care centers, public health-care providers, and other authorized organizations with ImmTrac-issued identification numbers and passwords may view the information.

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How do I enroll my child/myself/my family in ImmTrac?

To register your child 17 years of age or younger for ImmTrac participation, parental consent is required. Consent is only required one time and is valid until your child turns 18.* For family members age 18 years and older, an adult consent form is required for participation.

To register,

  1. Download an ImmTrac Consent Form.
    • Be sure to download the consent form that applies to your age category.
    • Complete a separate form for each individual.
  2. Complete the form, and sign and date it.
  3. Deliver the completed consent form, along with copies of your immunization records, to one of the following:
    • Any health-care provider registered with ImmTrac;
    • A local health department; or
    • The DSHS Immunization Branch, by mail or fax:
      • Mail:
        Texas Department of State Health Services
        Immunization Branch – ImmTrac Group
        MC 1946, PO Box 149347
        Austin, TX 78714-9347
      • Fax:
        (512) 776-7790 (Austin)
        (866) 624-0180 (toll-free)

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How can I get a copy of my or my child's shot record?

To get a copy of a shot record for yourself or your child, you must fill out the Authorization to Release ImmTrac History Form. Parental consent is only valid until a child’s 18th birthday. Parents with children 18 years of age and older cannot request a copy of their child’s immunization record in ImmTrac. Children turning 18 must sign an ImmTrac Adult Consent Form by their 19th birthday to keep their immunization information in ImmTrac or to request copies of their immunization records.

To request a copy of a shot record,

  1. Download the Authorization to Release ImmTrac History Form.
  2. Complete the form, and sign and date it.
  3. Send the completed form to the DSHS Immunization Branch by mail or fax:
    • Mail:
      Texas Department of State Health Services
      Immunization Branch – ImmTrac Group
      MC 1946, PO Box 149347
      Austin, TX 78714-9347
    • Fax:
      (512) 776-7790 (Austin)
      (866) 624-0180 (toll-free)

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How do I remove my child/myself/my family from ImmTrac?

  1. Download the Withdrawal of Consent and Confirmation Form, or call the Immunization Branch at (800) 252-9152 to request an ImmTrac withdrawal form.
  2. Complete the form, and sign and date it.
  3. Send the form to the DSHS Immunization Branch by mail or fax:
    • Mail:
      Texas Department of State Health Services
      Immunization Branch – ImmTrac Group
      MC 1946, PO Box 149347
      Austin, TX 78714-9347
    • Fax:
      (512) 776-7790 (Austin)
      (866) 624-0180 (toll-free)

How can ImmTrac help providers of immunizations?

  • It allows providers to search for immunization histories on new patients that have changed physicians or moved into a new community.
  • It assists with lost records or records that are difficult to interpret.
  • It provides a method for doctors to send recall and reminder notices of pending or overdue immunizations.

Who can import immunization data into ImmTrac?

Providers who are authorized to electronically import immunization data into ImmTrac must do so in accordance with the ImmTrac Electronic Transfer Standards (ETS). Immunization data may be submitted to ImmTrac using the following methods:

  • Import files may be uploaded to ImmTrac via the secure ImmTrac web application.
  • Import files may be submitted to ImmTrac via encrypted File Transfer Protocol (FTP).
  • Medicaid and CHIP client encounter data submitted to HHSC are electronically sent to ImmTrac via the ImmTrac HHSC Interface.
  • Electronic access to registry data is available to payors via an inquiry process that allows the health plan to submit client identifying and demographic information for multiple clients. ImmTrac searches the registry database and returns the available immunization history for each client via secure download or encrypted FTP.
  • Single client searching and generation of immunization histories are available to payors online via the ImmTrac web application.

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What is the history of ImmTrac?

During the summer of 1993, research was conducted to evaluate the requirements and impact of a state-wide Immunization Tracking System (ITS). In 1994, HP Enterprise Services, known at the time as Electronic Data Systems (EDS), was awarded the ITS project, and the ImmTrac project was initiated. In 1995, DSHS began registering public medical providers to use the ImmTrac application, and in 1996 the registry application was available for request by any private medical provider.

Although originally established as an "opt out" system, where immunization information received for all Texas children was included in the registry, a revision to the Texas Administrative Code, effective in 1999, resulted in an "opt in" system, requiring parents to consent to have their child's information included in the registry. This change resulted in the loss of 675,750 client records, leaving the registry to rely on voluntary parental consent and medical provider compliance with Texas law.

In 2003, the 78th Legislature passed House Bill 1921 to reduce confusion about parental consent requirements, increase provider and client participation, protect the privacy and confidentiality of registry data, and increase the utility of the registry and registry data. DSHS implemented House Bill 1921 in 2005. Some of the key requirements of House Bill 1921 include: all health-care providers and payors are required to report to ImmTrac all vaccines administered to children younger than 18 years of age; during the birth certificate registration process, parents must be given the opportunity to grant consent for registry participation or request their child be excluded from the registry; and a parent may submit a child's immunization history to ImmTrac to be included in the registry.

In 2007, the 80th Legislature passed Senate Bill 11, which changed the process for receiving parental consent. ImmTrac users (authorized organizations) were given the ability to give affirmation that they have received written parental consent from clients without submitting the actual consent form to DSHS. Senate Bill 11 also allowed ImmTrac to include immunization information on first responders (peace officers, fire protection personnel, emergency medical services personnel) and their immediate family members 18 years of age and older. The registry was used to capture information about persons who receive an immunization, antiviral or other medication administered in preparation for a potential declared disaster, public health emergency or in response to such an event. ImmTrac also began to track any adverse reactions to an immunization, antiviral, or other medication administered in preparation for a potential declared disaster, public health emergency or in response to such an event.

With the passage of Senate Bill 346 during the 81st Legislature in 2009, ImmTrac changed from a children's only registry to a lifetime registry (enrollment from birth to death) allowing Texans age 18 years or older to store their immunization records in the registry. In 2011, ImmTrac implemented the new legislative mandate and began promoting awareness of the lifetime registry and adult consent requirements. Adults may grant consent at any time to participate in ImmTrac and consent is valid for a lifetime.

The registry has matured over the years, increasing its functionality. In 2003, ImmTrac transitioned from requiring a written signature on the provider registration and renewal form to an online form that can be submitted electronically. Presently, ImmTrac is one of three programs at the Texas Department of State Health Services (DSHS) participating in the stages of Meaningful Use (MU) as they are defined by the Centers of Medicare and Medicaid Services Electronic Health Record (EHR) Incentive Programs. Meaningful Use is in its second of three stages.

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Last updated June 12, 2014