1. (a) Upon receipt of a request to withdraw consent, the child's entire history shall be removed from the immunization registry. A written confirmation shall be provided to the parent of removal from the immunization registry within 30 business days of receipt by the immunization registry.
2. (b) Providers shall forward a child's immunization history to the department or health plan for inclusion in the immunization registry only when the parent has signed a written consent for the immunization history to be included in the immunization registry. The department shall not keep a child's immunization history in the immunization registry or other files when the parent has requested in writing that the immunization history be deleted from the immunization registry.

3. (c) The department shall prepare appropriate forms to withdraw consent to participate in the immunization registry, and shall make them available to providers. A completed form is not required to refuse to participate in the immunization registry. A parent who consents and wishes to withdraw the consent at a later date, may send a signed request, in lieu of the form prepared by the department. The written request must be mailed to the Texas Department of Health, Immunization Registry, 1100 West 49th Street, Austin, Texas 78756 and contain the following information:

   1. (1) child's name;
   2. (2) child's date of birth;
   3. (3) child's gender;
   4. (4) name of parent;
   5. (5) an address where the parent can receive a confirmation notice;
   6. (6) signature of parent; and
   7. (7) date of signature.

Source Note:The provisions of this §100.4 adopted to be effective January 1, 1999, 23 TexReg 12670.