The Maine Immunization Information System (ImmPact) is intended to be a repository for accurate and up to date immunization records for all persons born, residing, or receiving vaccine in the State of Maine. ImmPact is able to perform a variety of functions for health care providers. This page contains information and resources for ImmPact Users.


Provider Forms

The following are available on our Forms and Updates page:

  • ImmPact Individual User Agreement
  • ImmPact Re-Enrollment Form
  • ImmPact Non-Participation Form



  • None at this time.

Data Exchange