Lost vaccination record card?

If you received your COVID-19 vaccination from JCDHE, you can complete this form (English) or this form (Español) and return it to JCDHE via email, fax or regular mail. For medical record questions, email [email protected].

If you received your COVID-19 vaccine from another provider (i.e., doctor's office, pharmacy, out of state provider), please contact them directly for a copy of your records. JCDHE only has vaccination records for people who received their COVID-19 vaccine(s) at a JCDHE clinic.