CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
DPH Submissions System
No Login Required
Coronavirus (Covid-19) Case Report Submission
COVID-19 Vaccine Clinic Pre-Registration
COVID-19 Vaccine Order (Enrolled CoVP Providers)
COVID-19 Vaccinator Submission
EMS Education Approval System
Approved EMS Education
DPH Vans Intake Form
DPH Monkeypox Clinic Intake Form
Application For Electronic Reporting to CT WiZ (HL7/UI)
#Vax2SchoolCT | School COVID-19 Vaccine Clinic Plan Form (Ages 5-11)
Immunization Request Form
Respiratory Collection Supplies Request Form
Congregate Facilities & Senior Living Intake Form
Vaccine+ Assistance Intake Form
CTWIC Interest Form
TeleHealth Registration
Login Required
School Submissions
CT Statewide medication administration
Medical Exemption Immunization