Section He-P 307.07 - Procedures for Patients to Withdraw from Participation in the Registry(a) A patient, or the patient's parent or guardian if the patient is a minor, may withdraw from participation in the registry at any time, including the removal of information contained in the registry, as follows: (1) The patient, or the patient's parent or guardian if the patient is a minor, shall complete the vaccine recipient information section of the "New Hampshire Immunization Information System (NHIIS) Withdrawal Form" (March 2023) and acknowledge that: "I understand that this withdrawal from participation in the registry will not prevent me or my child from receiving immunizations/vaccinations.
I understand withdrawing will delete all existing vaccine information within the NHIIS for myself or for my child. This is a permanent deletion that cannot be undone.
I understand that I may reverse my decision by completing a "Reverse Previous Decision not to Participate in the New Hampshire Immunization/Vaccination Registry" (3/2016) form with my current healthcare provider.
I understand that it is my responsibility to inform my other health care providers of my decision to withdraw from the registry so that no future immunization/vaccination information is reported to the NHIIS.
Patients who choose to withdraw from participation in the registry are not relieved from the obligation to comply with current immunization requirements set forth in RSA 141-C:20-a and He-P 301.14."4;
(2) The patient, or the patient's parent or guardian if the patient is a minor, shall obtain signature of a health care provider or a public notary on the "New Hampshire Immunization Information System (NHIIS) Withdrawal Form" (March 2023);(3) The patient, or the patient's parent or guardian if the patient is a minor, or health care provider in (2) above shall fax or mail the completed "New Hampshire Immunization Information System (NHIIS) Withdrawal Form" (March 2023) to the department; and(4) The department shall remove all patient information from the registry.(b) If a patient, or the patient's parent or guardian if the patient is a minor, requests withdrawal from participation in accordance with (a) or (b) above, then no information relating to the patient shall remain in the registry, and no record of the transaction, including the request itself, shall be kept by either the department or the health care provider.(c) It shall be the responsibility of the patient, or the patient's parent or guardian if the patient is a minor, to inform his or her other health care providers of his or her decision to withdraw from participation in the registry. In order to ensure that no future immunization/vaccination information is reported to the registry, such patient, or the patient's parent or guardian if the patient is a minor, shall complete a "Choose not to Participate in the New Hampshire Immunization/Vaccination Registry" form (3/16 edition) with each of the patient's current and administering health care providers who are participating in the registry.(d) Nothing in this rule shall relieve the patient, or the patient's parent or guardian if the patient is a minor, who chooses to remove his or her information from the registry, from the obligation to comply with current immunization/vaccination requirements set forth in RSA 141-C:20-a or He-P 301.14.N.H. Admin. Code § He-P 307.07
#6830, INTERIM, eff 8-14-98, EXPIRED: 12-12-98
New. #6941, eff 1-30-99
Amended by Volume XXXVII Number 19, Filed May 11, 2017, Proposed by #12163, Effective 5/1/2017, Expires 5/1/2027.Amended by Number 15, Filed April 13, 2023, Proposed by #13605, Effective 3/28/2023, Expires 3/28/2033.