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
