ADHS will be performing maintenance on the Medical Marijuana systems starting on Saturday, January 24, 2015 at 10 PM expected to be completed by Sunday, January 25, 2015 at 4 AM. During this time, Medical Marijuana Online Registry Applications will be unavailable. We apologize for the inconvenience this maintenance downtime may cause. If the process is completed earlier, the systems will be made available at an earlier time.

Arizona State Immunization Information System (ASIIS)

Enrollment Packet

Please read the first five headings below and click on the link to the document that best describes where you work.

To enroll with the ASIIS program, fill out the Enrollment Application and User Agreement, located in each form below. These documents must be mailed in or faxed.

Enrollment Forms

*Please fax back all three pages!

Note: Information provided in PDF files, unless otherwise indicated.