Section 410 ILCS 527/15 - 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 formThe 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 entered into the immunization data registry.(3) That the patient or the patient's parent or guardian, if the patient is less than 18 years of age, has a right to exempt disclosure of immunization data to the registry and may prevent disclosure by signing an immunization data exemption form.(4) That the patient or the patient's parent or guardian, if the patient is less than 18 years of age, may have the individual's information removed from the immunization data registry.(5) Instructions on how to have the information removed.Added by P.A. 097-0117,§ 15, eff. 7/14/2011.