CINXE.COM
Public Portal
<!DOCTYPE html> <html lang="en"> <head> <meta charset="utf-8" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <meta http-equiv="Cache-Control" content="no-cache, no-store, must-revalidate" /> <meta http-equiv="Expires" content="0" /> <title>Public Portal</title> <link rel="stylesheet" href="/lib/bootstrap/dist/css/bootstrap.min.css" /> <!-- AllSettings.ApplicationTheme is initialized in HomeController on first load --> <link rel="stylesheet" href="/css/Colorado/site.min.css?v=F97fsBa9PvcAIe7xz0UTSjHEsICT7FnraxpNMqOJ_Wg" /> <link rel="icon" href="/img/Colorado/favicon.png"> </head> <script src="/lib/bootstrap/dist/js/bootstrap.bundle.min.js"></script> <script src="/js/site.min.js?v=DvATlmdCkNl3cuilaveYhlkqkt8LI3RTvVByfXstcOM" type="module"></script> <body> <header > <div class="d-flex flex-wrap align-items-center"> <div class="header-logo-div me-2"> <a aria-label="Go to Home Page" href="/?area=Access"> <div class="header-logo-img"></div> </a> </div> <div class="me-auto select-language"> <ul class="nav nav-pills mt-2 mb-1 language-selector-nav"> <li class="nav-item dropdown"> <a id="language-dropdown" class="nav-link dropdown-toggle active" data-bs-toggle="dropdown" href="#" role="button" aria-expanded="false" aria-controls="language-options">Select Language</a> <ul class="dropdown-menu" id="language-options"> <li><a class="dropdown-item lang-item" lang="en" href="/Home/SetLanguage?selectedLanguage=en&returnUrl=~%2F">English</a></li> <li><a class="dropdown-item lang-item" lang="es" href="/Home/SetLanguage?selectedLanguage=es&returnUrl=~%2F">Español (Spanish)</a></li> </ul> </li> </ul> </div> <div class="ms-auto mb-2 mb-md-0"> <h1 class="fs-2 text-wrap">Immunization Record Info Request</h1> </div> </div> <nav class="header-navbar navbar navbar-expand-sm border-bottom box-shadow"> <div class="container-fluid"> <ul class="navbar-nav ms-auto"> <li class="nav-item"> <a href="#" class="navbar-link nav-link align-center-right" data-bs-toggle="modal" data-bs-target="#helpModal">Help</a> </li> </ul> </div> </nav> </header> <main class="row"> <input type="hidden" value='Close' id="closeText" /> <div class="pt-2 container"> <div class="container"> <div class="row"> <div class="content-title h1"> Let's get started! </div> </div> <div class="row content-title-subtext"> You can request a vaccination record for yourself or your legal dependent. </div> </div> <section class="container mt-4 mb-3"> <div class="row"> <h2>Who is the request for?</h2> </div> <div class="row content-align-center-panel"> <div class="col-auto"> <button id="patientRelationshipSelfButton" class="base-button primary-button patient-relationship-button" aria-label="Me, Select to start a request for your immunization record"> Me </button> </div> <div class="col-auto"> <button id="patientRelationshipParentButton" class="base-button primary-button patient-relationship-button" aria-label="Dependent, Select to start a request for a dependent's immunization record"> Dependent </button> </div> </div> </section> </div> <div class="content-information-panel container-fluid"> <div class="row"> <div class="container"><h3>What to Expect</h3></div> <div class="container"> <div class="row content-information-section-row"> <div class="content-information-section-panel col-12 col-lg-4 col-xl-3"> <div class="container"> <div class="step-logo-img step1-logo-img container img-fluid"></div> </div> <div class="row"><h4>Enter Info</h4></div> <div class="row step-text">Enter your personal information.</div> </div> <div class="content-information-arrow-panel d-none d-xl-flex col-xl-1"> <div class="arrow-right-img"></div> </div> <div class="content-information-section-panel col-12 col-lg-4 col-xl-3"> <div class="container"> <div class="step-logo-img step2-logo-img container img-fluid"></div> </div> <div class="row"><h4>Verify Your Identity</h4></div> <div class="row step-text">Receive a verification code to confirm your identity.</div> </div> <div class="content-information-arrow-panel d-none d-xl-flex col-xl-1"> <div class="arrow-right-img"></div> </div> <div class="content-information-section-panel col-12 col-lg-4 col-xl-3"> <div class="container"> <div class="step-logo-img step3-logo-img container img-fluid"></div> </div> <div class="row"><h4>View Immunizations</h4></div> <div class="row step-text">Access your vaccination record.</div> </div> </div> </div> </div> </div> <script type="module" src="js/home.min.js?v=bOAXnA_WJVpWAZ1FhIeZvMyF5yr_PBnVdjK3DYXGGRY"></script> </main> <div class="container content-align-center-panel"> <div class="footer-logo-img"></div> </div> <footer class="footer-row navbar"> <div class="container-fluid text-left"> <div class="col-auto"> <a class="navbar-link nav-link" href="https://envisiontechnology.com/section-508-accessibility-documents/" target="_blank" aria-label="View our accessibility documents.">Accessibility</a> </div> <div class="col-auto text-right mw-100"> 漏 2001-2024 Envision Technology Partners Inc. </div> </div> </footer> <div class="modal fade" id="helpModal" data-bs-backdrop="static" data-bs-keyboard="true" data-bs-focus="true" tabindex="-1" aria-labelledby="helpModalLabel" aria-hidden="true"> <div class="modal-dialog modal-lg modal-dialog-scrollable"> <div class="modal-content"> <div class="modal-header"> <h2 class="modal-title h5" id="helpModalLabel">Help</h2> <button id="helpClose" type="button" class="btn-close" data-bs-dismiss="modal" aria-label='Close'></button> </div> <div class="modal-body"> <div class="row"> <div class="col-12"> <p>To use the Public Access Portal</p> <ul> <li>Allow this page to generate pop-ups (do not block pop-ups).</li> <li>If not already installed, install Adobe Acrobat Reader (used to view the Official Immunization Record). Download for free at <a href="http://get.adobe.com/reader/">http://get.adobe.com/reader/</a></li> </ul> </div> </div> <hr /> <div class="row mt-1"> <div class="col-12"> <p data-block-id="f00a023b-3b74-421b-ba86-8a4db0627d9e" data-pm-slice="1 1 []">Click on the <a href="https://drive.google.com/file/d/1H5ZPm-5sYVv_Iym0E_eWjd0ZajF2p-_e/view" target="_blank" rel="noopener">How to use the CIIS Public Portal</a> for help on how to use the Public Portal.</p> <p data-block-id="2f9a7a75-3a2c-4948-b05d-1aeb259dc579"><a href="https://cdphe.colorado.gov/accessibility" target="_blank" rel="noopener noreferrer nofollow">CDPHE accessibility and support statement</a>.</p> </div> </div> </div> <div class="modal-footer"> <button type="button" class="base-button primary-button" data-bs-dismiss="modal">Close</button> </div> </div> </div> </div> <div id="spinner" class="spinner-wrapper d-none"> <div class="spinner-border text-primary" role="status"> <span class="visually-hidden">Please wait...</span> </div> </div> </body> </html>