77 Ill. Adm. Code 689.80
Opt-Out Option
Section 689.80Â Opt-Out Option
a)
Before
entering immunization data into the
Registry,
authorized immunization
providers who provide immunization data into the
Registry
shall provide
the patient or the patient's parent or guardian, if the patient is less than 18
years of age, with a printed
Opt-Out Form
at least once
. (Section
17 of the Act)
b)Â Â Â Â Â Â Â Â Opt-out
forms must
include all of the following information:
1)
A
description of the
Registry
and its purpose;
2)
That
the health care provider may report immunization data to the Department to be
entered into the
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
Registry;
and
5)
Instructions
on how to have the information removed.
(Section 15(c) of the Act)
c)Â Â Â Â Â Â Â Â Completed
Opt-Out Forms shall be maintained at the provider site, and a copy shall be
provided to the patient or the patient's parent or guardian. If any provider
subsequently tries to add the same client to the Registry, the provider will be
warned that the client's record has been locked, and the provider will be
unable to save the record. Only the Department and the provider site that
originally submitted the patient record have the ability to view or unlock a
locked record.
d)Â Â Â Â Â Â Â Â The
Opt-Out Form shall also be used to opt the patient back into the Registry if
the patient decides to do so. A patient may opt back in the Registry by the
completion of an Opt-Out Form at any provider site participating in the
Registry.