CALDWELL PUBLIC SCHOOLSAugust, 2014 Dear Parent,
HIPPA (Health Insurance Portability and Accountability Act) allows the schools, doctor's offices and health departments to exchange information regarding a student's immunization status without signed parental consent. We have been informed that FERPA (Family Educational Rights and Privacy Act) over rides HIPPA and immunization information on a student cannot be released from the school without a parent/guardian signing an " Authorization for Release of Health Care Information" form. This form is for immunization information only. No other medical information. When you sign the attached form you will be allowing the school permission to provide your child's physicians, the health department and the Kansas Immunization Registry (explained below) immunization history on your child if requested. You will need to indicate on the form where the information can be released.
The Kansas State Dept. of Health and Environment operates the Kansas Immunization Registry (KSWebIZ) which is a web-based centralized birth to death database that will maintain statewide immunization records. This process will involve county health departments, physicians and schools. Security measures are in compliance with HIPPA and Kansas confidentiality statues. KDHE has stringent security measures for accessing the Kansas immunization Registry.
The goal of the registry is to maintain immunization records that are accurate, up-to-date and complete-with all demographic and vaccination information pertaining to each individual consolidated into one non-duplicative history. This internet accessible system enables end users, to accurately assess a student's immunization status.
These are some of the benefits of KSWebIZ:
Consolidates and combines immunization information from a multitude of sources into a single record stored in one place.
Provides an accurate and official copy of a child's immunization history for daycare, school, camp, college, etc.
3.. Accurately tracks the ability to ensure that a child is current and protected from preventable diseases.
Reminds families and providers when immunizations are due or if one has been missed.
KSWebIZ will help providers and parents determine when immunizations are due thereby preventing duplicate or unnecessary vaccinations.
Attached is the "Authorization for Release of Health Care Information" form that you will need to sign and return for immunization information to be shared with your child's physician, the health department and the Kansas Immunization Registry. You need to indicate where the information can be released.
the Kansas Immunization Registry will be used for purposes of assessment and reporting to prevent disease.)
I affirm that I am authorized to consent to release of medical information on behalf of the Student. I understand that this authorization will expire when the Student is no longer enrolled in the above-named school and that I may revoke this authorization in writing at any time.