Enter your Out-of-State or VA COVID-19 Vaccination record with NYS

By completing this form you agree that Chautauqua County Health Department can upload your COVID-19 vaccination information into the New York State Immunization Information System (NYSIIS).  Entering the vaccination information into NYSIIS enables NYS residents to get an Excelsior Pass and also helps us better gauge our vaccination rate.   

Once your information is received please allow 2 business days for staff to upload it into the NYSIIS system and another 2 business days for NYSIIS to update with your information.  Once your information is uploaded into NYSIIS, you can download your NYS Excelsior Pass here

One file only.
10 MB limit.
Allowed types: gif, jpg, png, bmp, jpeg, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.