Indiana

Indiana (IN-CHIRP) Registry Enrollment / HL7 Integration

Step 1: Registration

Please complete the following required forms to register with IN-CHIRP:

• IN CHIRP – User Agreement
  
• CHIRP Provider Site Enrollment

Please email both forms to PrescribeWellness at iisforms@prescribewellness.com with the following subject line: Pharmacy Name/ Vaccinations/ Attached IN-CHIRP Forms

Step 2: Documenting Immunizations

• Please document all administered immunizations in the Outcomes Vaccinations Tool as well as in your state registry portal
• To request state registry training, please complete this form

Step 3: Final registration steps

• Once credentials are received, your pharmacy will move into Production status
• Once approved, IN-CHIRP will send a confirmation email to your pharmacy