(410 ILCS 527/15)

Sec. 15.

Provision of immunization data to registry; exemption forms;
written information on immunization registry.

(a) A health care provider, physician's designee, or pharmacist's
designee may provide immunization data to be entered into the immunization data
registry in a manner prescribed by the Department and for the
purposes allowed under this Act unless the patient or the patient's parent or guardian, if the patient is less than
18 years of age,
has completed and filed with the provider, physician's designee, or
pharmacist's designee a written immunization data exemption form.

(b) The Department shall create and provide copies of
immunization data exemption forms to health care providers who are authorized to
administer immunizations and
individuals
who request the form.
The forms shall also be accessible from the immunization data registry system itself.

(c) The Department shall distribute to health care providers, upon
request, written information to be disseminated to patients that
describes the immunization data registry. The written information
and the immunization data exemption forms must include all of the following information:

(1) A description of the immunization data registry and its purpose.
(2) That the health care provider may report immunization data to the Department to be