Support request - COVID-19 vaccine record


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 .

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 or call 1-888-527-1224.