Support for the Michigan Care Improvement Registry

MCIR Help Desk Phone Hours:
Monday-Thursday: 10:00AM-12:00PM and 1:00PM-4:00PM
Friday: Closed

The MCIR Helpdesk has temporarily adjusted the hours of operation for telephone assistance. The Help Desk can still be reached at MDHHS-MCIRHelp@michigan.gov during normal business hours, Monday-Friday from 8:00AM-4:30PM.

MDHHS-MCIRHelp@michigan.gov

1-888-243-6652

Fax: 517-763-0370

  • Merging duplicate records
  • Processing person change requests adoptions, record and vaccine changes
  • MCIR participation and opt out requests
  • Adding site administrators and assisting with passwords
  • MCIR user access and registration
  • Questions about any MCIR functionality features
  • Requesting MCIR resources and materials
  • Requesting and scheduling training
  • School/Childcare SIRS support
  • New MCIR Site Agreements

Quick Stop for Provider Forms

Find all MCIR Agreements, Change Forms for Healthcare Providers,
Schools and Childcares on the Site Agreements and Forms page.

Petition for Modification (P4M) Form – Change Person Information – Fillable PDF

Petition for Modification Form – Change Person Information – B&W (for printed, faxed, or scanned copies)
  • This form is for changes including spelling or DOB corrections, legal name changes, adoptions, or to merge duplicate records.
  • Adoptions are processed differently than other name changes. For more information see our P4M Adoption Tip Sheet

Petition for Modification (P4M) Form – Immunization Correction – Fillable PDF

Petition for Modification Form – Immunization Correction – B&W (for printed, faxed, or scanned copies)
  • This form is for modifying or deleting immunizations entered into a MCIR record by another provider.

Provider Site Usage Agreement (PSUA) Form – Fillable PDF

  • Provider Site Usage Agreement form is to establish a new site in MCIR, change site administrators or supervising provider, update site information, site renewal, or discontinuing a MCIR site.

MCIR Education Training Analyst Contact and Support

All MCIR ETAs provide the State of Michigan with statewide technical system support and training for the MCIR Immunization System. If assistance is needed in your geographic area, utilize the Michigan Local Health Jurisdictions Emergency Preparedness Map to
contact the MCIR Education Training Analyst Team assigned to your area.

**Individual/one-on-one training is available to all providers.**

South Region

Utilize the map and email below to connect with the entire South Education Training Analyst Team.

MDHHS-MCIR-South@michigan.gov

Amy Eaton – Lead ETA
EatonA3@michigan.gov

LeAnn Gaffke – ETA
GaffkeL2@michigan.gov

John Harwood – ETA
HarwoodJ3@michigan.gov

Sheila Edwards – ETA
EdwardsS13@michigan.gov

East Central Region

Utilize the map and email below to connect with the entire East Central Education Training Analyst Team.

MDHHS-MCIR-EastCentral@michigan.gov

Ann Goldon – Lead ETA
GoldonA1@michigan.gov

Derek Sejfulla – ETA
SejfullaD@michigan.gov

Denise Oles-Acevedo – ETA
OlesAcevedoD@michigan.gov

North West Region

Utilize the map and email below to connect with the entire North West Education Training Analyst Team.

MDHHS-MCIR-NorthWest@michigan.gov

Gail Brazeau – Lead ETA
BrazeauG1@michigan.gov 

Jenna May – ETA
MayJ11@michigan.gov

ETA Regional Coverage Map

Map of Michigan Counties. The state is separated into 3 zones that correspond to the Education and Training Analyst geographical areas for the MCIR East Central, MCIR South, and MCIR North West regions.