Support request - COVID-19 vaccine record

Important

If you are having trouble with your COVID-19 vaccination record, please review the steps to resolve common issues . If you still require assistance after trying these steps, please fill in and submit the following information.

Do not use this form to submit out-of-province vaccination records .

Please choose the option that best describes the issue you encountered:*

No Record Found

I tried to access my COVID-19 vaccination record but no record was found.

Missing or Incorrect Information

I received my COVID-19 vaccination record, but information was missing or incorrect.

Incorrect Demographic Information

I received my COVID-19 vaccination record, but my name or birthdate do not match my Alberta Personal Health Card.

Other

Any other issue encountered while trying to access your COVID-19 vaccination record.

The information on this form is collected by Alberta Health Services (AHS) in accordance with Sections 20(b), 21(1)(a), 22(2)(a) and (b), and 27(1)(a) of the Health Information Act ("HIA") and Section 33(c) of the Freedom of Information and Protection Privacy Act ("FOIP") for the purpose of administering technical and correction support services. The information you provide will be protected in accordance with the HIA and FOIP. If you have questions about the collection of your information or require technical support with this form, please email COVID19Record@gov.ab.ca or call 1-888-527-1224.